NPIMap

Organization Active NPI

Plum Grove of Palatine

  • Skilled Nursing Facility
  • Palatine, IL
National Provider Identifier
1992833446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
48199 Issued in IL
Legal business name
PLUM GROVE OF PALATINE
Practice address
24 S Plum Grove Rd
Palatine, IL 60067-6243
Phone
(847) 358-0311
Fax
(847) 358-8875
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Stern
Title
Owner
Phone
(847) 677-9823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 48199 IL Primary

Addresses

Primary practice location

24 S Plum Grove Rd
Palatine, IL 60067-6243

Mailing address

24 S Plum Grove Rd
Palatine, IL 60067-6243
Phone (847) 358-0311

Other identifiers 1

IdentifierTypeStateIssuer
203590254001MedicaidIL

Other names 1

  • THE PLUM GROVE OF PALATINE 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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992833446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676243",
            "telephone_number": "847-358-0311",
            "fax_number": "847-358-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676243",
            "telephone_number": "847-358-0311",
            "fax_number": "847-358-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM GROVE OF PALATINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-677-9823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "48199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203590254001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PLUM GROVE OF PALATINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatine, IL

Sources for this page

  • 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.