PH ELGIN, LLC (NPI# 1033588322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033588322 |
| Entity Type | Organization |
| Organization Name | PH ELGIN, LLC |
| Other Organization Name | THE BRIDGE CARE SUITES AT ELGIN |
| Practice Address |
1754 Capital Street Elgin IL 60124 |
| Mailing Address |
7444 Long Ave Skokie IL 60077-3214 |
| Practice Telephone | 8473294100 |
| Mailing Telephone | 8473294100 |
| Mailing Fax Number | 8473294900 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |
| Authorized Official Name | STACEY VAN DYKE (AR MANAGER) |
| Authorized Official Telephone | 8473294100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Bridge Care Suites at Elgin | Doing Business As Name - Organization |
| Street Address |
1754 CAPITAL STREET |
| City | ELGIN |
| State | IL |
| Zip Code | 60124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023564606 | Addison Rehabilitation & Living Center LLC | Skilled Nursing Facility | 1754 Capital Street, Elgin, IL 60124 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124544978 | Kathleen Malinis | Registered Nurse | 2400 Big Timber Road, Elgin, IL 60124 | 2017-08-14 |
| 1538681671 | Josephina Pilolli | Nurse Practitioner | 2490 Bushwood Dr, Unit F, Elgin, IL 60124 | 2017-07-11 |
| 1962858761 | Alex Torres | Specialist/Technologist | 2485 College Green Drive, Elgin, IL 60124 | 2016-05-11 |
| 1104215441 | Joseph Russo | Physical Therapist | 41w 470 Silvana Dr., Elgin, IL 60124 | 2015-01-09 |
| 1871928838 | Tiffany Lang | Behavioral Analyst | 3522 Hopewell Place, Elgin, IL 60124 | 2013-09-10 |
| 1376851386 | Angela Marie Stastny | Dietitian, Registered | 42w794 Mcdonald Rd, Campton Hills, IL 60124 | 2010-09-24 |
| 1598088726 | Shelly A. Pearson | Physical Therapist | 3051 Longcommon Parkway, Elgin, IL 60124 | 2010-03-02 |
| 1437282027 | Susan Ann Blocker | Speech-Language Pathologist | 3106 Kyra Ln, Elgin, IL 60124 | 2007-03-13 |
| 1134286057 | Siri Chanthasalo | Dentist | 3091 W. Route 20, #103, Elgin, IL 60124 | 2007-01-02 |
| 1174623664 | Thomas A. Lutz | Internal Medicine | 1670 Capital St Ste 500, Elgin, IL 60124 | 2006-09-24 |
| Find all providers in zip 60124 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184146920 | Avondale Estates of Elgin LLC | Skilled Nursing Facility | 1760 Capital St, Elgin, IL 60124-7890 | 2017-07-13 |
| 1114479813 | Midwest Health Professionals | Skilled Nursing Facility | 891 W Chicago St, Elgin, IL 60123-6259 | 2016-10-28 |
| 1073970299 | Deisy Palomar | Skilled Nursing Facility | 788 Hiawatha Dr, Elgin, IL 60120-3126 | 2016-01-19 |
| 1629165915 | Jacobson Memorial Hospital Care Center | Skilled Nursing Facility | 601 E Street N, Elgin, ND 58533 | 2006-10-06 |
| 1336191147 | Sherman West Court | Skilled Nursing Facility | 1950 Larkin Ave, Elgin, IL 60123-5843 | 2006-05-17 |
| 1033110903 | Asta Care Center of Elgin LLC | Skilled Nursing Facility | 134 N Mclean Blvd, Elgin, IL 60123-5169 | 2005-08-02 |
| 1447255849 | Maplewood Care, Inc. | Skilled Nursing Facility | 50 N Jane Dr, Elgin, IL 60123-5118 | 2005-06-14 |
| 1619456670 | Elgin Skilled Nursing Facility LLC | Skilled Nursing Facility | 1950 Larkin Ave, Elgin, IL 60123-5843 | 2018-08-10 |
| 1366985087 | Elgin Nh LLC | Skilled Nursing Facility | 2355 Royal Blvd, Elgin, IL 60123-4716 | 2016-11-29 |
| 1164972667 | Apostolic Christian Resthaven | Skilled Nursing Facility | 2750 W Highland Ave, Elgin, IL 60124-4202 | 2016-10-07 |
| Find all providers in ELGIN | ||||
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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.