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RIVER VIEW REHAB CENTER, LLC
Complete NPI Record 1417367293
Skilled Nursing Facility in Elgin, IL


Overall Rating: 1 out of 5 stars

NPI Status: Active since May 02, 2014

Contact Information

50 N JANE DR
ELGIN, IL
ZIP 60123
Phone: (847) 697-3750

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider First Line Business Practice Location Address
  11. Provider Business Practice Location Address City Name
  12. Provider Business Practice Location Address State Name
  13. Provider Business Practice Location Address Postal Code
  14. Provider Business Practice Location Address Country Code If outside U S
  15. Provider Business Practice Location Address Telephone Number
  16. Provider Enumeration Date
  17. Last Update Date
  18. Authorized Official Last Name
  19. Authorized Official First Name
  20. Authorized Official Title or Position
  21. Authorized Official Telephone Number
  22. Healthcare Provider Taxonomy Code 1
  23. Healthcare Provider Primary Taxonomy Switch 1
  24. Is Organization Subpart

Complete NPI Dataset

This page represents the complete record for NPI 1417367293. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1417367293
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Entity Type Code: 2
The country code in the location address of the provider being identified.
Employer Identification Number EIN: UNAVAIL
The telephone number associated with the location address of the provider being identified.
The fax number associated with the location address of the provider being identified.
Provider First Line Business Mailing Address: 8153 LAWNDALE AVE
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address City Name: SKOKIE
The date that a record was last updated or changed.
Provider Business Mailing Address State Name: IL
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Mailing Address Postal Code: 600763321
The first name of the authorized official.
Provider Business Mailing Address Country Code If outside U S : US
The middle name of the authorized official.
Provider First Line Business Practice Location Address: 50 N JANE DR
The title or position of the authorized official.
Provider Business Practice Location Address City Name: ELGIN
The 10-position telephone number of the authorized official.
Provider Business Practice Location Address State Name: IL
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Practice Location Address Postal Code: 601235118
Provider Business Practice Location Address Country Code If outside U S : US
Provider Business Practice Location Address Telephone Number: 8476973750
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Enumeration Date: 5/2/2014
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Last Update Date: 5/2/2014
Authorized Official Last Name: WEBSTER
Authorized Official First Name: SHIMON
The first name of the authorized official.
Authorized Official Title or Position: MANAGER
Authorized Official Telephone Number: 7739451000
Healthcare Provider Taxonomy Code 1: 314000000X
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Organization Subpart: N