Organization Active NPI

Maria Calara

  • Skilled Nursing Facility
  • Crystal Lake, IL
National Provider Identifier
1902094626
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MARIA CALARA
Practice address
471 W Terra Cotta Ave
Crystal Lake, IL 60014-3434
Phone
(815) 455-0550
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mrs. Maria Calacsan Calara
Title
Cota
Phone
(224) 569-6836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X IL Primary

Addresses

Primary practice location

471 W Terra Cotta Ave
Crystal Lake, IL 60014-3434

Mailing address

4680 Barharbor Dr
Lake in the Hills, IL 60156-1086
Phone (224) 569-6836

National Provider Directory

National Provider Directory

Locations

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1902094626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 BARHARBOR DR",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561086",
            "telephone_number": "224-569-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 W TERRA COTTA AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143434",
            "telephone_number": "815-455-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA CALARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "CALARA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CALACSAN",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "224-569-6836",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.