Sheridan Shores Care & Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0040444 Issued in IL

Legal business name

SHERIDAN SHORES CARE & REHABILITATION CENTER

Practice address

5838 N Sheridan Rd
Chicago, IL 60660-4916

Phone

(773) 769-2230

Fax

(773) 769-3579

NPI assigned

Mar 20, 2007

Last updated

Apr 20, 2008By 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. Mark Steinberg

Title

Chief Operating Officer

Phone

(847) 905-3000

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1942325253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604916",
            "telephone_number": "773-769-2230",
            "fax_number": "773-769-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604916",
            "telephone_number": "773-769-2230",
            "fax_number": "773-769-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN SHORES CARE & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "847-905-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0040444",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0040444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1129",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ardaman Shergill
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• Sheridan Cardiac Consultants, S.C.
• Sheridan Counseling Group PC
• Sheridan Medical Center, S.C
• Sheridan Village Nursing and Rehabilitation Center LLC
• Anita Sheridan, CRNA
• Ann Elizabeth Sheridan, M.D.
• Kari Elizabeth Sheridan, MS OTRL
• Katie Mara Sheridan, MPT

• 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 Apr 20, 2008; 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.