MONTGOMERY PLACE (NPI# 1811018112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811018112 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY PLACE |
| Practice Address |
5550 S Shore Dr Chicago IL 60637-5051 |
| Practice Telephone | 7737534100 |
| Practice Fax Number | 7737520056 |
| Mailing Telephone | 7737534100 |
| Mailing Fax Number | 7737520056 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-10-25 |
| Authorized Official Name | MR. MICHAEL R. APA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7737534096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0037515 | IL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679873111 | Montgomery Place | Clinic/Center | 5550 S Shore Dr, Chicago, IL 60637-5051 | 2010-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MONTGOMERY PLACE II OWNERS' ASSOCIATION, INC. | 1715 Lebanon Rd. Unit 22, Crawfordsville, IN 47933-2151 |
| Indiana Business Entities | MONTGOMERY PLACE OWNERS ASSOCIATION INC | 404 Glenn Knecht Drive, Crawfordsville, IN 47933 |
| Vermont Business Registrations | MONTGOMERY PLACE, P.C. | 3301 Route 122, Sheffield, VT 05866 |
| Street Address |
5550 S SHORE DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653788 | Laurieann Chutis | Social Worker | 5550 S Shore Dr, Suite 1107, Chicago, IL 60637-5034 | 2005-07-19 |
| 1891396404 | Elizabeth Layne Gernert | Occupational Therapist | 5550 S Shore Dr, Chicago, IL 60637-5051 | 2020-11-02 |
| 1699224998 | Michael Esposito | Physical Therapy Assistant | 5550 S Shore Dr, Chicago, IL 60637-5051 | 2016-09-27 |
| 1275907990 | Lifecare@home | In Home Supportive Care | 5550 S Shore Dr, Chicago, IL 60637-5051 | 2015-11-18 |
| 1679873111 | Montgomery Place | Clinic/Center | 5550 S Shore Dr, Chicago, IL 60637-5051 | 2010-11-01 |
| 1962601112 | Irene Cheung-chan | Physical Therapist | 5550 S Shore Dr, Chicago, IL 60637-5051 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| 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 |
| 1962491944 | Heritage Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 5888 N Ridge Ave, Chicago, IL 60660-3450 | 2005-10-20 |
| 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 |
| 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.