Gardenview Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0052456 Issued in IL

Legal business name

GARDENVIEW MANOR LLC

Practice address

8170 McCormick Blvd
Suite 118
Skokie, IL 60076-2961

Phone

(847) 674-2800

Fax

(847) 674-4133

NPI assigned

Aug 22, 2013

Last updated

Dec 20, 2013By 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

Mr. Barak Baver

Title

Owner

Phone

(773) 575-2222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1932533346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14792 CATLIN TILTON RD",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618345116",
            "telephone_number": "217-443-6430",
            "fax_number": "217-443-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD",
            "address_2": "SUITE 118",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961",
            "telephone_number": "847-674-2800",
            "fax_number": "847-674-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENVIEW MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "BAVER",
        "authorized_official_first_name": "BARAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-575-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0052456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Nathan Garber, R.PH.
• Hali Garber
• Alana Garcia
• Raymund Laurence Garcia, RPT
• Benjamin C Garden, M.D.
• Nancy J Gardner
• Charissa Lou Pajarillo Garingan, MSN, APRN-FNP, FNP-C
• Katrina Garmon
• Monte Garnant
• Garvey Speech Therapy PLLC

• Skilled Nursing Facility in Skokie, IL
• Providers in Skokie, 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 Dec 20, 2013; 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.