Active NPI
Windmill Nursing Pavilion, LTD.
- Skilled Nursing Facility
- South Holland, IL
National Provider Identifier
1962489526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0031823
- Legal business name
- WINDMILL NURSING PAVILION, LTD.
- Practice address
- 16000 Wabash Ave
South Holland, IL 60473-1464 - Phone
- (708) 339-0600
- NPI assigned
- Dec 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marshall A Mauer
- Title
- Secretary-Treasurer
- Phone
- (847) 679-8219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0031823 | IL | Primary |
Addresses
Primary practice location
16000 Wabash Ave
South Holland, IL 60473-1464
Mailing address
3359 Main St
Skokie, IL 60076-2432
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313712000000",
"number": "1962489526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3359 MAIN ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 WABASH AVE",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604731464",
"telephone_number": "708-339-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDMILL NURSING PAVILION, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-26",
"last_updated": "2011-08-19",
"status": "A",
"authorized_official_last_name": "MAUER",
"authorized_official_first_name": "MARSHALL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SECRETARY-TREASURER",
"authorized_official_telephone_number": "847-679-8219",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0031823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.