Long Grove Manor Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0040899 Issued in IL

Legal business name

LONG GROVE MANOR INC

Practice address

1666 Checker Rd
Long Grove, IL 60047-5289

Phone

(847) 419-1111

Fax

(847) 419-1119

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Glenn Lefkovitz

Title

Manager

Phone

(224) 377-2400

Specialties & licenses 1

Addresses

Other names 1

• The Arlington Rehabilitation and Living Center Doing business as

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1912916966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 CHECKER RD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475289",
            "telephone_number": "847-419-1111",
            "fax_number": "847-419-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 CHECKER RD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475289",
            "telephone_number": "847-419-1111",
            "fax_number": "847-419-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG GROVE MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "LEFKOVITZ",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-377-2400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0040899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arlington Rehabilitation and Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liv Home Health LLC
• Long Grove Center for Emotional Health LLC
• Long Grove Dental Studio
• Long Grove Dental, PC
• Long Grove Fire Protection District
• Long Grove Pac LLC
• Melissa J. Long, APN-CNP
• Robert J Longo, MD
• M Palondikar MD PC
• Helen Maciorowski, M.D.

• Skilled Nursing Facility in Long Grove, IL
• Providers in Long Grove, 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 Feb 9, 2012; 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.