CONCORD NURSING HOME, INC. (NPI# 1285766204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285766204 |
| Entity Type | Organization |
| Organization Name | CONCORD NURSING HOME, INC. |
| Other Organization Name | CONCORD EXTENDED CARE |
| Practice Address |
9401 Ridgeland Ave Oak Lawn IL 60453-2221 |
| Practice Telephone | 7085996700 |
| Practice Fax Number | 7085996258 |
| Mailing Telephone | 7085996700 |
| Mailing Fax Number | 7085996258 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK STEINBERG (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8479053000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0026914 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 1233 | 01 |
| Other Name | Type Code |
|---|---|
| Concord Extended Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619004827 | Concord Nursing Home, Inc. | Skilled Nursing Facility | 300 Madison St, Brooklyn, NY 11216-1509 | 2007-02-27 |
| Street Address |
9401 RIDGELAND AVE |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952123 | Amy Reynolds | Nurse Practitioner | 9401 Ridgeland Ave, Oak Lawn, IL 60453-2221 | 2020-05-02 |
| 1417599317 | Concord Nursing & Rehabilitation Center LLC | Durable Medical Equipment & Medical Supplies | 9401 Ridgeland Ave, Oak Lawn, IL 60453-2221 | 2019-10-11 |
| 1649554874 | Gina M Mcguire | Occupational Therapist | 9401 Ridgeland Ave, Oak Lawn, IL 60453 | 2011-10-06 |
| 1154622272 | Josephine Baylosis Tan | Physical Therapist | 9401 Ridgeland Ave, Oak Lawn, IL 60453-2221 | 2010-11-05 |
| 1902115926 | Nicole Melissa Booker | Occupational Therapist | 9401 Ridgeland Ave, Oak Lawn, IL 60453-2221 | 2010-09-26 |
| 1275774143 | Concord Nursing & Rehabilitation Center LLC | Durable Medical Equipment & Medical Supplies | 9401 Ridgeland Ave, Oak Lawn, IL 60453-2221 | 2009-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| 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 |
|---|---|---|---|---|
| 1063479160 | Regal Health and Rehab | Skilled Nursing Facility | 9525 Mayfield Ave, Oak Lawn, IL 60453-2817 | 2006-05-01 |
| 1831409879 | Oak Lawn Respiratory and Rehabilitation Center LLC | Skilled Nursing Facility | 9525 Mayfield Ave, Oak Lawn, IL 60453-2817 | 2010-10-08 |
| 1447582572 | Hr Manor Care Health Services | Skilled Nursing Facility | 6300 W 95th St, Oak Lawn, IL 60453-2256 | 2010-01-29 |
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| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
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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.