Ridgeland Nursing and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0046193 Issued in IL

Legal business name

RIDGELAND NURSING AND REHABILITATION CENTER, LLC

Practice address

12550 S Ridgeland Ave
Palos Heights, IL 60463-1859

Phone

(708) 597-9300

Fax

(708) 597-0038

NPI assigned

Mar 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Steinberg

Title

Chief Operating Officer

Phone

(847) 905-3000

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1871619940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 S RIDGELAND AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631859",
            "telephone_number": "708-597-9300",
            "fax_number": "708-597-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 S RIDGELAND AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631859",
            "telephone_number": "708-597-9300",
            "fax_number": "708-597-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELAND NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "847-905-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046193",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007934",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monika Aneta Reyes, NP
• Kyle Elizabeth Reynolds, MD
• Robert A Rice, DC
• Richard J Pasiewicz DDS LLC
• Ari Richelson, L.P.C.
• Tracy Lynn Riley, MPT
• Julius C. Ringus, M.D.
• Rini Palos Heights Pharmacy Inc
• Lois Ann Risinger, M.A., CCC-SLP
• Zulfiqar Haider Rizvi, M.D.

• Skilled Nursing Facility in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.