Provider Demographics
NPI:1164602322
Name:NAPERVILLE SENIOR CARE
Entity Type:Organization
Organization Name:NAPERVILLE SENIOR CARE
Other - Org Name:MONARCH LANDING OUTPATIENT REHABILITATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:REIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-222-6262
Mailing Address - Street 1:2255 MONARCH DRIVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563
Mailing Address - Country:US
Mailing Address - Phone:630-300-1300
Mailing Address - Fax:630-300-1386
Practice Address - Street 1:2255 MONARCH DRIVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563
Practice Address - Country:US
Practice Address - Phone:630-300-1300
Practice Address - Fax:630-300-1386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2018-07-03
Deactivation Date:2009-11-19
Deactivation Code:
Reactivation Date:2011-05-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation