EASTGATE MANOR OF ALGONQUIN LLC (NPI# 1831275999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831275999 |
| Entity Type | Organization |
| Organization Name | EASTGATE MANOR OF ALGONQUIN LLC |
| Practice Address |
101 Eastgate Court Algonquin IL 60102 |
| Mailing Address |
665 West North Avenue Suite 500 Lombard IL 60148 |
| Practice Telephone | 8474582800 |
| Practice Fax Number | 8474580017 |
| Mailing Telephone | 6304584700 |
| Mailing Fax Number | 6304584770 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN SAMATAS (MEMBER) |
| Authorized Official Telephone | 6304584700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
101 EASTGATE COURT |
| City | ALGONQUIN |
| State | IL |
| Zip Code | 60102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411329 | Amber Nicole Bianchi | Massage Therapist | 265 Stonegate Road, Algonquin, IL 60102 | 2020-03-04 |
| 1255971156 | Cler Family Solutions LLC | Case Management | 12 Waterfront Ct, Algonquin, IL 60102 | 2020-01-09 |
| 1114577079 | Camp Chirotherapy LLC | Chiropractor | 3925 W Algonquin Rd, Algonquin, ID 60102 | 2019-09-12 |
| 1295380392 | Kevin Layton Sanderson | In Home Supportive Care | 9604 Zimmer Drive, Algonquin, IL 60102 | 2019-08-06 |
| 1669964300 | Favia Primary Care, Sc | Family Medicine | 1340 Ryan Parkway, Algonquin, IL 60102 | 2018-05-30 |
| 1285142745 | Melissa Sue Aeschliman | Speech-Language Pathologist | 8 White Chapel Ct., Algonquin, IL 60102 | 2018-01-18 |
| 1295251940 | Maria Melina Dominguez | Counselor | 1138 N. Main Street, Algonquin, IL 60102 | 2017-08-15 |
| 1578001830 | Advanced Dental and Implant Care PC | Dentist | 2310 Huntington Dr. N., Algonquin, IL 60102 | 2017-02-07 |
| 1871037861 | Rehabcare Group East, LLC | Clinic/Center | 212 Eastgate Ct, Algonquin, IL 60102 | 2016-12-09 |
| 1891172664 | Foot and Ankle Specialists of Illinois Ltd | Podiatrist | 2430 Esplanade Drive Suite A, Algonquin, IL 60102 | 2015-04-30 |
| Find all providers in zip 60102 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831405695 | Favor In The Land | Custodial Care Facility | 150 N Mason Ave, 1suite, Chicago, IL 60644-2801 | 2010-08-30 |
| 1598947418 | Ingalls Home Care | Custodial Care Facility | 19730 Governors Hwy, Flossmoor, IL 60422-2082 | 2007-12-03 |
| 1841479797 | Villa Health Care Inc | Custodial Care Facility | 100 Stardust Dr, Sherman, IL 62684-9763 | 2007-10-29 |
| 1396840153 | Good Samaritan Home of Quincy | Custodial Care Facility | 2130 Harrison St, Quincy, IL 62301-6756 | 2006-09-14 |
| 1780660878 | The Pointe At Kilpatrick | Custodial Care Facility | 14230 Kilpatrick Ave, Crestwood, IL 60445-2399 | 2005-12-20 |
| 1558343301 | St. Marys Health Care Center Investors LLC | Custodial Care Facility | 401 Saint Marys Dr, Edwardsville, IL 62025-4276 | 2005-11-17 |
| 1659368264 | Gaf/lake Cook Terrace | Custodial Care Facility | 263 Skokie Blvd, Northbrook, IL 60062-1611 | 2005-09-29 |
| 1457705774 | J and F Professional In Home Care Services for Seniors | Custodial Care Facility | 328 Sherry Ln, Chicago Heights, IL 60411-1079 | 2016-04-22 |
| 1760804967 | Treaad Incorporated | Custodial Care Facility | 600 Borden St, Woodstock, IL 60098-2137 | 2014-01-08 |
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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.