The Clare Propco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE CLARE PROPCO LLC

Doing business as

Terraces at The Clare
The Clare

Practice address

55 E Pearson St
Chicago, IL 60611-2535

Phone

(312) 951-5690

Fax

(312) 784-8016

NPI assigned

Oct 23, 2019

Last updated

Oct 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Bridgewater

Title

Evp, Treasurer & Secretary

Phone

(515) 875-4768

Specialties & licenses 1

Addresses

Other names 2

• Terraces at The Clare Doing business as
• The Clare Doing business as

Tax ID family

Chicago Senior Care LLC2 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.

• Clare Propco LLC

  dba Terraces at the Clare

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1902167349
  NPD tax ID

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1922641992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOCUST ST STE 820",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092334",
            "telephone_number": "515-875-4500",
            "fax_number": "515-875-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E PEARSON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112535",
            "telephone_number": "312-951-5690",
            "fax_number": "312-784-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLARE PROPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "EVP, TREASURER & SECRETARY",
        "authorized_official_telephone_number": "515-875-4768"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terraces at The Clare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Clare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, 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 23, 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.