Skokie Meadows Nursing Center II

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0031393 Issued in IL

Legal business name

SKOKIE MEADOWS NURSING CENTER II

Practice address

9933 Lawler Ave
Ste #350, C/O Premier Management Co
Skokie, IL 60077-3703

Phone

(847) 679-7733

Fax

(847) 679-7736

NPI assigned

Jul 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Appel

Title

Controller

Phone

(847) 679-7733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992704811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761210",
            "telephone_number": "847-679-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "address_2": "STE #350, C/O PREMIER MANAGEMENT CO",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773703",
            "telephone_number": "847-679-7733",
            "fax_number": "847-679-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOKIE MEADOWS NURSING CENTER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "APPEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "847-679-7733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0031393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skokie Meadows Nursing Centers II,LLC (Cambridge Nursing & Rehab Center)
• Skokie Medical Center LLC
• Skokie Naprapathic Healthcare and Pain Management Inc.
• Skokie New Age Detnal

• Nursing Facility/Intermediate Care Facility in Skokie, IL
• Providers in Skokie, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.