Citadel Estates-Hazel Crest, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0053777 Issued in IL

Legal business name

CITADEL ESTATES-HAZEL CREST, LLC

Doing business as

Citadel Estates-Hazel Crest

Practice address

3701 W 183Rd St
Hazel Crest, IL 60429-2512

Phone

(708) 799-7099

Fax

(708) 799-9267

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jonathon Aaron

Title

Manager

Phone

(847) 470-2044

Specialties & licenses 1

Addresses

Other names 1

• Citadel Estates-Hazel Crest Doing business as

Locations

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1972951812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W 183RD ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292512",
            "telephone_number": "708-799-7099",
            "fax_number": "708-799-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 W 183RD ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292512",
            "telephone_number": "708-799-7099",
            "fax_number": "708-799-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL ESTATES-HAZEL CREST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-470-2044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "0053777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citadel Estates-Hazel Crest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline E. Chester-Stanton
• Children'S Home and Aid
• Trina Chiuye, RN
• Michael Christakos
• Christopher T. Kardasis M.D., S.C.
• Ginger Yvonne Clinton, MD
• Beth Ann Cloud, C.O.T.A./L.
• Bridget Cole
• Linda Collazo
• Community Integrative Health Network

• Assisted Living Facility in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.