Organization Active NPI

Elmbrook Nursing LLC

  • Skilled Nursing Facility
  • Elmhurst, IL
National Provider Identifier
1902114069
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELMBROOK NURSING LLC
Practice address
127 W Diversey Ave
Elmhurst, IL 60126-1101
Phone
(630) 530-5225
Fax
(630) 530-7775
NPI assigned
Sep 22, 2010
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Mrs. Maria Haight
Title
A/R
Phone
(847) 679-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

127 W Diversey Ave
Elmhurst, IL 60126-1101

Mailing address

127 W Diversey Ave
Elmhurst, IL 60126-1101
Phone (630) 530-5225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1902114069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W DIVERSEY AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261101",
            "telephone_number": "630-530-5225",
            "fax_number": "630-530-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W DIVERSEY AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261101",
            "telephone_number": "630-530-5225",
            "fax_number": "630-530-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMBROOK NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "HAIGHT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "A/R",
        "authorized_official_telephone_number": "847-679-9797",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.