PIONEER GARDENS SENIOR HOUSING LP (NPI# 1861664013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861664013 |
| Entity Type | Organization |
| Organization Name | PIONEER GARDENS SENIOR HOUSING LP |
| Other Organization Name | PIONEER GARDENS SUPPORTIVE LIVING |
| Practice Address |
3800 S King Dr Chicago IL 60653-1785 |
| Practice Telephone | 7734204100 |
| Practice Fax Number | 7735360720 |
| Mailing Telephone | 7734204100 |
| Mailing Fax Number | 7735360720 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | MR. ANTHONY SHELL SR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7734204101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282E00000X | Long Term Care Hospital | Hospitals | ||
| Y | 310400000X | Assisted Living Facility | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 32001233001 | 05 |
| Other Name | Type Code |
|---|---|
| Pioneer Gardens Supportive Living | Doing Business As Name - Organization |
| Street Address |
3800 S KING DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-1785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1851849269 | Alden Courts of Waterford, L.L.C. | Assisted Living Facility | 4200 W. Peterson Ave. Suite 140, Chicago, IL 60646-6074 | 2016-09-14 |
| 1740635663 | Friend Family Health Center, Inc | Assisted Living Facility | 6134 S Cottage Grove Ave, Chicago, IL 60637 | 2016-04-28 |
| 1760851364 | Goldblatts of Chicago Limited Partnership | Assisted Living Facility | 4707 S Marshfield Ave, Chicago, IL 60609-4159 | 2015-09-24 |
| 1982900445 | Covenant Home of Chicago | Assisted Living Facility | 2720 West Foster Avenue, Chicago, IL 60625-3510 | 2011-02-01 |
| 1215269071 | Renaissance Saint Luke Slf Lp | Assisted Living Facility | 1501 W Melrose St, Chicago, IL 60657-9083 | 2010-02-04 |
| 1346579398 | Genesis Rehabilitation Services | Assisted Living Facility | 7120 N Sheridan Rd, # 201, Chicago, IL 60626-2900 | 2009-12-21 |
| 1992946214 | Victory Centre of South Chicago LLC | Assisted Living Facility | 3251 E 92nd St, Chicago, IL 60617-4660 | 2009-03-17 |
| 1861638181 | Victory Centre of Galewood LLC | Assisted Living Facility | 2370 N Newcastle Ave, Chicago, IL 60707-2955 | 2008-12-17 |
| 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.