Active NPI
Ruth Ann's Desserts LLC
- Clinical Medical Laboratory
- Country Club Hills, IL
National Provider Identifier
1871241034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- RUTH ANN'S DESSERTS LLC
- Doing business as
- Ruth Ann's Desserts LLC
- Practice address
- 18020 John Ave
Country Club Hills, IL 60478-5018 - Phone
- (773) 993-2671
- NPI assigned
- Mar 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Shonda S Rhodes
- Title
- Manager/Owner
- Phone
- (773) 993-2671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
18020 John Ave
Country Club Hills, IL 60478-5018
Mailing address
18020 John Ave
Country Club Hills, IL 60478-5018
Phone (773) 993-2671
Other names 1
- Ruth Ann's Desserts LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1871241034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18020 JOHN AVE",
"city": "COUNTRY CLUB HILLS",
"state": "IL",
"postal_code": "604785018",
"telephone_number": "773-993-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18020 JOHN AVE",
"city": "COUNTRY CLUB HILLS",
"state": "IL",
"postal_code": "604785018",
"telephone_number": "773-993-2671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTH ANN'S DESSERTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "RHODES",
"authorized_official_first_name": "SHONDA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "773-993-2671",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ruth Ann's Desserts LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Country Club Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.