NPIMap

Organization Active NPI

Marklund Wasmond Home

  • Pediatric Skilled Nursing Facility
  • Elgin, IL
National Provider Identifier
1982153425
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
MARKLUND WASMOND HOME
Practice address
1435 Summit St
Elgin, IL 60120-9218
Phone
(847) 741-1609
NPI assigned
Sep 26, 2016
Organization subpart
Yes
Parent organization
MARKLUND CHILDREN'S HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Mr. Gilbert W Fonger
Title
President/Ceo
Phone
(630) 593-5476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

1435 Summit St
Elgin, IL 60120-9218

Mailing address

1S450 Wyatt Dr
Geneva, IL 60134-4921
Phone (630) 593-5500

National Provider Directory

National Provider Directory
Tax ID family
Marklund Richard Home11 organizations share this tax ID, including this one
Part of
Marklund Richard Home

Other organizations with this tax ID 10

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": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1982153425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S450 WYATT DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344921",
            "telephone_number": "630-593-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601209218",
            "telephone_number": "847-741-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKLUND WASMOND HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARKLUND CHILDREN'S HOME",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "FONGER",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "630-593-5476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.