Organization Active NPI

Victory Centre of River Woods LLC

  • Assisted Living Facility
  • Melrose Park, IL
National Provider Identifier
1891982153
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VICTORY CENTRE OF RIVER WOODS LLC
Practice address
1800 River Woods Drive
Melrose Park, IL 60160-1639
Phone
(708) 547-5800
Fax
(708) 345-7458
NPI assigned
Oct 1, 2007
Organization subpart
Yes
Parent organization
PATHWAY MANAGEMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Kristen Becht
Title
Risk Manager
Phone
(312) 837-0710

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Assisted Living Facility 310400000X IL Primary

Addresses

Primary practice location

1800 River Woods Drive
Melrose Park, IL 60160-1639

Mailing address

30 S Wacker Dr Ste 1010
Chicago, IL 60606-7413
Phone (312) 837-0701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1891982153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S WACKER DR STE 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606067413",
            "telephone_number": "312-837-0701",
            "fax_number": "312-837-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RIVER WOODS DRIVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601639",
            "telephone_number": "708-547-5800",
            "fax_number": "708-345-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CENTRE OF RIVER WOODS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAY MANAGEMENT, LLC",
        "enumeration_date": "2007-10-01",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "BECHT",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "RISK MANAGER",
        "authorized_official_telephone_number": "312-837-0710"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.