California Gardens Corp.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5004070001 Issued in IL

Legal business name

CALIFORNIA GARDENS CORP.

Practice address

7257 N Lincoln Ave
Lincolnwood, IL 60712-1810

Phone

(847) 933-2600

Fax

(847) 933-0686

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Joyce Rudd

Title

Medicare Manager

Phone

(847) 745-6238

Specialties & licenses 1

Addresses

Other names 1

• California Gardens Nursing And Rehabilitation Center Doing business as

Tax ID family

California Gardens Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• California Gardens Nursing Center

  • Oxygen Equipment & Supplies (DME)
  • Chicago, IL
  • NPI 1801023759
  NPD tax ID

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1871745562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 S CALIFORNIA BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081810",
            "telephone_number": "773-847-8061",
            "fax_number": "773-847-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121810",
            "telephone_number": "847-933-2600",
            "fax_number": "847-933-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA GARDENS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "MEDICARE MANAGER",
        "authorized_official_telephone_number": "847-745-6238"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "5004070001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Gardens Nursing And Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madelyn Brokop
• Danielle Brooks
• Broomfield, Inc
• Mary Burkes
• Jacqueline Christine Calderon, PA-C
• Karl Roi Fontelo Calingacion, NP-C
• Cedric Cando
• Cara Chill, LLC
• Care Assist Inc.
• Carefirst Home Health Services, Inc.

• Skilled Nursing Facility in Lincolnwood, IL
• Providers in Lincolnwood, 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 Oct 14, 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.