NPIMap

Organization Active NPI

Lincolnshire Senior Care LLC

  • Skilled Nursing Facility
  • Lincolnshire, IL
National Provider Identifier
1992094205
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0051219 Issued in IL
Legal business name
LINCOLNSHIRE SENIOR CARE LLC
Practice address
960 Audubon Way
Lincolnshire, IL 60069
Phone
(847) 876-2401
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
David A Reis
Title
Ceo & President
Phone
(203) 222-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0051219 IL Primary

Addresses

Primary practice location

960 Audubon Way
Lincolnshire, IL 60069

Mailing address

800 Audubon Way
Lincolnshire, IL 60069-3811
Phone (847) 876-2401

Other names 2

  • Radford Green Doing business as
  • Sedgebrook Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1992094205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUDUBON WAY",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693811",
            "telephone_number": "847-876-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 AUDUBON WAY",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "60069",
            "telephone_number": "847-876-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLNSHIRE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "203-222-6262"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0051219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radford Green",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sedgebrook Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sedgebrook Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.