Organization Active NPI

Pathway Senior Living LLC

  • Assisted Living Facility
  • Elk Grove Village, IL
National Provider Identifier
1952583239
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PATHWAY SENIOR LIVING LLC
Practice address
975 Martha Street
Elk Grove Village, IL 60007-3414
Phone
(847) 437-8070
Fax
(847) 806-0836
NPI assigned
Nov 29, 2007
Organization subpart
Yes
Parent organization
PSL HOLDING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Kristen Becht
Title
Risk Manager
Phone
(312) 837-0710

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Assisted Living Facility 310400000X IL Primary

Addresses

Primary practice location

975 Martha Street
Elk Grove Village, IL 60007-3414

Mailing address

30 S Wacker Dr Ste 1010
Chicago, IL 60606-7413
Phone (312) 837-0701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1952583239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S WACKER DR STE 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606067413",
            "telephone_number": "312-837-0701",
            "fax_number": "312-837-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 MARTHA STREET",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073414",
            "telephone_number": "847-437-8070",
            "fax_number": "847-806-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY SENIOR LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSL HOLDING LLC",
        "enumeration_date": "2007-11-29",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "BECHT",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "RISK MANAGER",
        "authorized_official_telephone_number": "312-837-0710"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.