WESTMONT CONVALESCENT CENTER (NPI# 1003805672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003805672 |
| Entity Type | Organization |
| Organization Name | WESTMONT CONVALESCENT CENTER |
| Practice Address |
6501 S Cass Ave Westmont IL 60559-3200 |
| Practice Telephone | 6309602026 |
| Practice Fax Number | 6307240245 |
| Mailing Telephone | 6309602026 |
| Mailing Fax Number | 6307240245 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID CHEPLOWITZ (ADMINISTRATOR) |
| Authorized Official Telephone | 6309602026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
0030015 | IL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689643363 | Westmont Convalescent Center | Skilled Nursing Facility | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2006-03-16 |
| Street Address |
6501 S CASS AVE |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201515 | Tyler Young | Speech-Language Pathologist | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2017-08-15 |
| 1760859615 | Cynthia Gutierrez | Speech-Language Pathologist | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2015-08-26 |
| 1033508395 | Cathleen Anne Jaglin | Physical Therapist | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2015-01-09 |
| 1265861652 | Dakota Robinson | Speech-Language Pathologist | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2013-11-06 |
| 1245543362 | Amabelle Lee Baloy David | Physical Therapist | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2010-07-18 |
| 1427214519 | Westmont Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2008-07-29 |
| 1689643363 | Westmont Convalescent Center | Skilled Nursing Facility | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962954099 | State of Illinois Department of Human Services | Custodial Care Facility | 10724 S Indiana Ave, Chicago, IL 60628-3615 | 2016-10-24 |
| 1215302583 | Epilepsy Foundation of Greater Southern Illinois | Custodial Care Facility | 3515 N Belt W, Belleville, IL 62226-5944 | 2015-12-11 |
| 1316334907 | Dean Homecare LLC | Custodial Care Facility | 6604 N Ashland Ave, 3 J, Chicago, IL 60626-4151 | 2015-04-21 |
| 1881015329 | St Clair Supportive Living Lp | Custodial Care Facility | 921 Knollwood Village Rd, Caseyville, IL 62232-1808 | 2013-12-31 |
| 1700100971 | Good Shepherd Manor, Inc | Custodial Care Facility | 4129 N State Routes 1 & 17, Momence, IL 60954-0260 | 2010-03-17 |
| 1386895381 | Rickcare, LLC | Custodial Care Facility | 2490 County Road 550 E, Dewey, IL 61840-9725 | 2008-10-08 |
| 1689844912 | Parents and Friends of The Community Integration Services | Custodial Care Facility | 212 S. 32nd St, Belleville, IL 62226 | 2008-03-03 |
| 1568630390 | Halsted Shelter Care | Custodial Care Facility | 16044 Halsted St, Harvey, IL 60426-5201 | 2008-02-14 |
| 1326110594 | Jjr Enterprises Inc | Custodial Care Facility | 2025 Broadway St Ste B, Mount Vernon, IL 62864-2935 | 2006-11-14 |
| 1720613748 | Cass County Mental Health Assoc | Custodial Care Facility | 121 E 2nd St, Beardstown, IL 62618-1263 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.