HERITAGE NURSING HOME, INC (NPI# 1962491944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962491944 |
| Entity Type | Organization |
| Organization Name | HERITAGE NURSING HOME, INC |
| Practice Address |
5888 N Ridge Ave Chicago IL 60660-3450 |
| Practice Telephone | 7737692626 |
| Practice Fax Number | 7737692650 |
| Mailing Telephone | 7737692626 |
| Mailing Fax Number | 7737692650 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KATHY DONOHUE (ADMINISTRATOR) |
| Authorized Official Telephone | 7737692626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0038620 | IL | Nursing & Custodial Care Facilities |
| Street Address |
5888 N RIDGE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336769603 | Tiffany Kim | Occupational Therapist | 5888 N Ridge Ave, Chicago, IL 60660-3450 | 2020-04-16 |
| 1225697956 | Joseph James Sanders | Social Worker | 5888 N Ridge Ave, Chicago, IL 60660-3450 | 2019-06-06 |
| 1841753274 | David Glikin | Physical Therapy Assistant | 5888 N Ridge Ave, Chicago, IL 60660-3450 | 2019-04-11 |
| 1295086148 | Park View Rehab Center LLC | Skilled Nursing Facility | 5888 N Ridge Ave, Chicago, IL 60660-3450 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437410891 | Mado Healthcare | Nursing Facility/Intermediate Care Facility | 1541 North Wells, Chicago, IL 60610-1307 | 2012-06-01 |
| 1487779799 | Somerset Place, LLC | Nursing Facility/Intermediate Care Facility | 5009 N Sheridan Rd, Chicago, IL 60640-3117 | 2007-03-20 |
| 1942325253 | Sheridan Shores Care & Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 5838 N Sheridan Rd, Chicago, IL 60660-4916 | 2007-03-20 |
| 1841320850 | Alshore House Inc. | Nursing Facility/Intermediate Care Facility | 2840 W Foster Ave, Chicago, IL 60625-3506 | 2007-03-07 |
| 1508922683 | The Old People's Home of The City of Chicago | Nursing Facility/Intermediate Care Facility | 909 W Foster Ave, Chicago, IL 60640-6481 | 2006-12-31 |
| 1225109564 | Monroe Corp | Nursing Facility/Intermediate Care Facility | 1400 W Monroe St, Chicago, IL 60607-2512 | 2006-11-10 |
| 1376573568 | Wincrest Nursing Center Corp | Nursing Facility/Intermediate Care Facility | 6326 N Winthrop Ave, Chicago, IL 60660 | 2006-07-03 |
| 1174529614 | Sovereign Healthcare | Nursing Facility/Intermediate Care Facility | 6159 N Kenmore Ave, Chicago, IL 60660-2722 | 2005-06-21 |
| 1497759914 | Rrem Inc | Nursing Facility/Intermediate Care Facility | 2155 W Pierce, Chicago, IL 60622 | 2005-06-13 |
| 1760931513 | Midwest Post Acute Care LLC | Nursing Facility/Intermediate Care Facility | 230 W Monroe St, Chicago, IL 60606-4703 | 2016-09-21 |
| Find all providers in CHICAGO | ||||
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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.