THREE CROWNS PARK (NPI# 1790900470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790900470 |
| Entity Type | Organization |
| Organization Name | THREE CROWNS PARK |
| Practice Address |
2323 Mcdaniel Ave Evanston IL 60201-2540 |
| Practice Telephone | 8473288700 |
| Practice Fax Number | 8473288274 |
| Mailing Telephone | 8473288700 |
| Mailing Fax Number | 8473288274 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUSAN J MORSE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8473288700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0012773 | IL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205291457 | Three Crowns Park | Nursing Facility/Intermediate Care Facility | 2323 Mcdaniel Ave, Evanston, IL 60201-2549 | 2015-12-15 |
| Street Address |
2323 MCDANIEL AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205291457 | Three Crowns Park | Nursing Facility/Intermediate Care Facility | 2323 Mcdaniel Ave, Evanston, IL 60201-2549 | 2015-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| 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 |
|---|---|---|---|---|
| 1295858363 | Mather Health Care Inc | Skilled Nursing Facility | 820 Foster St, Evanston, IL 60201-3212 | 2007-04-06 |
| 1750351425 | Westminster Place | Skilled Nursing Facility | 3200 Grant St, Evanston, IL 60201-1903 | 2006-01-25 |
| 1518953728 | Alden Estates of Evanston, Inc. | Skilled Nursing Facility | 2520 Gross Point Rd, Evanston, IL 60201-4929 | 2005-09-22 |
| 1962497982 | Dobson Plaza Inc. | Skilled Nursing Facility | 120 Dodge Ave, Evanston, IL 60202-3622 | 2005-09-15 |
| 1376537670 | Resurrection Senior Services | Skilled Nursing Facility | 500 Asbury Ave, Evanston, IL 60202-2724 | 2005-09-01 |
| 1396742219 | North Big Horn Hospital | Skilled Nursing Facility | 475 Yellow Creek Road, Evanston, WY 82930-5109 | 2005-07-07 |
| 1063417467 | Oakwood Care Associates Operating LLC | Skilled Nursing Facility | 1300 Oak Ave, Evanston, IL 60201-4205 | 2005-06-14 |
| 1336504117 | Lake Forest Place, LLC | Skilled Nursing Facility | 3200 Grant St, Evanston, IL 60201-1903 | 2015-12-22 |
| 1326403106 | The Moorings of Arlington Heights, LLC | Skilled Nursing Facility | 3200 Grant St, Evanston, IL 60201-1903 | 2015-12-22 |
| 1598137895 | Evanston Skilled Nursing Facility LLC | Skilled Nursing Facility | 500 Asbury Ave, Evanston, IL 60202-2724 | 2015-10-26 |
| Find all providers in EVANSTON | ||||
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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.