NPIMap

Organization Active NPI

Dupage Convalescent Center

  • Skilled Nursing Facility
  • Wheaton, IL
National Provider Identifier
1952563207
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0008201 Issued in IL
Legal business name
DUPAGE CONVALESCENT CENTER
Practice address
400 N County Farm Rd
Wheaton, IL 60187-3908
Phone
(630) 784-4201
Fax
(630) 784-4203
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Jennifer M Ulmer, LNHA
Title
Administrator
Phone
(630) 784-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0008201 IL Primary

Addresses

Primary practice location

400 N County Farm Rd
Wheaton, IL 60187-3908

Mailing address

400 N County Farm Rd
Wheaton, IL 60187-3908
Phone (630) 784-4201

Other identifiers 1

IdentifierTypeStateIssuer
36600651002OtherILROOM AND BOARD

National Provider Directory

National Provider Directory
Tax ID family
Du Page Convalescent Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1952563207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873908",
            "telephone_number": "630-784-4201",
            "fax_number": "630-784-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873908",
            "telephone_number": "630-784-4201",
            "fax_number": "630-784-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE CONVALESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "ULMER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-784-4202",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0008201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROOM AND BOARD",
            "identifier": "36600651002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.