DALE J PURVIS (NPI# 1437354008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437354008 |
| Entity Type | Individual |
| Full Name | DALE J PURVIS |
| Credential | NHA |
| Practice Address |
3333 Beverly Rd Hoffman Estates IL 60179-0001 |
| Practice Telephone | 8472862527 |
| Practice Fax Number | 8472864102 |
| Mailing Telephone | 8472862527 |
| Mailing Fax Number | 8472864102 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 4079 | MO | Nursing Service Related Providers |
| Street Address |
3333 BEVERLY RD |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60179-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053436006 | Cynthia Rae Logan | Optometrist | 3333 Beverly Rd, Sears Optical, Hoffman Estates, IL 60179-0001 | 2007-03-20 |
| 1043668668 | Transform Km Operations LLC | Pharmacy | 3333 Beverly Rd, Hoffman Estates, IL 60179-0001 | 2016-05-25 |
| 1104170190 | Transform Km of Michigan LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd, Bc 259 Aa, Hoffman Estates, IL 60179-0001 | 2012-10-30 |
| 1043564040 | Kmart of Washington LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd, Bc 259 Aa, Hoffman Estates, IL 60179-0001 | 2012-10-30 |
| 1932453941 | Kmart Stores of Texas LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd, Bc 259 Aa, Hoffman Estates, IL 60179-0001 | 2012-10-30 |
| 1194999847 | Kmart Corporation | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd, Ac388b, Hoffman Estates, IL 60179-0001 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295041341 | Transform Km LLC | Pharmacy | 3333 Beverly Rd # Bc260a, Hoffman Estates, IL 60179-0001 | 2010-08-27 |
| 1720214315 | Jennifer Speares Lehman | Pharmacist | 3333 Beverly Rd # Bc259a, Hoffman Estates, IL 60179-0001 | 2009-06-09 |
| 1679511109 | Transform Km Stores of Illinois LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Road Fc-419b, Hoffman Estates, IL 60179-0001 | 2006-06-04 |
| 1376897991 | Transform Km Stores of Illinois LLC | Durable Medical Equipment & Medical Supplies | 3333 Beverly Rd # Bc260a, Hoffman Estates, IL 60179-0001 | 2012-11-05 |
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568483329 | Good Samaritan Nursing Home | Nursing Home Administrator | 407 N Hebard Street, Knoxville, IL 61448 | 2006-07-21 |
| 1366436453 | Four Fountains Convalescent Center | Nursing Home Administrator | 101 S Belt W, Belleville, IL 62220-2503 | 2005-09-06 |
| 1760830673 | Monica Plymale | Nursing Home Administrator | 4401 N Main St, Rockford, IL 61103-1277 | 2016-06-01 |
| 1942658315 | John Bernadyn | Nursing Home Administrator | 1407 Belleview Ave, Rockdale, IL 60436-2533 | 2016-05-26 |
| 1104215573 | Laura Booker | Nursing Home Administrator | 12525 Renaissance Cir, Homer Glen, IL 60491-5896 | 2015-01-22 |
| City | HOFFMAN ESTATES |
| Zip Code | 60179 |
Please comment or provide details below to improve the information on DALE J PURVIS.
| 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.