WILSON CARE, INC. (NPI# 1962407361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962407361 |
| Entity Type | Organization |
| Organization Name | WILSON CARE, INC. |
| Practice Address |
4544 N Hazel St Chicago IL 60640-5716 |
| Mailing Address |
4100 W Pratt Ave Lincolnwood IL 60712-3517 |
| Practice Telephone | 7735617241 |
| Practice Fax Number | 7737282606 |
| Mailing Telephone | 8476745200 |
| Mailing Fax Number | 8476745267 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS WINTER (TREASURER) |
| Authorized Official Telephone | 8476745200 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 0029975 | IL | Nursing & Custodial Care Facilities |
| Street Address |
4544 N HAZEL ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154447753 | Rainbow Beach Qoc, LLC | Intermediate Care Facility, Mental Illness | 7325 S Exchange Ave, Chicago, IL 60649-3407 | 2007-03-22 |
| 1932224243 | Grasmere Place, LLC | Intermediate Care Facility, Mental Illness | 4621 N Sheridan Rd, Chicago, IL 60640-5019 | 2007-03-20 |
| 1528149382 | Belmont Nursing Home, Inc. | Intermediate Care Facility, Mental Illness | 1936 W Belmont Ave, Chicago, IL 60657-2025 | 2006-10-18 |
| 1902994650 | Sacred Heart Home | Intermediate Care Facility, Mental Illness | 1550 S Albany Ave, Chicago, IL 60623-2212 | 2006-10-10 |
| 1497783872 | Clayton Residential Homes Inc | Intermediate Care Facility, Mental Illness | 2026 N Clark St, Chicago, IL 60614-4764 | 2006-06-28 |
| 1164450532 | B&d Hotel Corporation | Intermediate Care Facility, Mental Illness | 321 N Central Ave, Chicago, IL 60644-2227 | 2006-06-28 |
| 1912998188 | Nine Forty Cullom Corporation | Intermediate Care Facility, Mental Illness | 940 W Cullom Ave, Chicago, IL 60613 | 2005-11-04 |
| 1417942384 | Margaret Manor Inc. | Intermediate Care Facility, Mental Illness | 1121 N Orleans St, Chicago, IL 60610 | 2005-09-15 |
| 1891790242 | Bryn Mawr Care, Inc. | Intermediate Care Facility, Mental Illness | 5547 N Kenmore Ave, Chicago, IL 60640-1515 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376088146 | Inspire Senior Care, LLC | Intermediate Care Facility, Mental Illness | 401 Burke Dr, Joliet, IL 60433-2113 | 2017-01-03 |
| 1407024284 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 639 Hawthorne Ct, Galesburg, IL 61401-1200 | 2008-02-14 |
| 1003004565 | Skokie Meadows Nursing Centers II,llc | Intermediate Care Facility, Mental Illness | 4600 Golf Rd, Skokie, IL 60076-1210 | 2007-10-10 |
| 1508088410 | Lydia Healthcare | Intermediate Care Facility, Mental Illness | 13901 S Lydia Ave, Robbins, IL 60472-2215 | 2007-05-02 |
| 1154545879 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1089 Hawkinson Ave, Galesburg, IL 61401-6900 | 2007-04-12 |
| 1023231537 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1023 Dewey Ave, Kewanee, IL 61443-3205 | 2007-04-11 |
| 1609099118 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 501 N Grove St, Kewanee, IL 61443-2078 | 2007-04-11 |
| 1194948695 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1974 Windish Dr, Galesburg, IL 61401-6800 | 2007-04-11 |
| 1790908200 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1084 Lawrence Ave, Galesburg, IL 61401-2482 | 2007-04-11 |
| 1407079916 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1191 Jefferson St, Galesburg, IL 61401-2617 | 2007-04-11 |
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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.