Provider Demographics
NPI:1376573568
Name:WINCREST NURSING CENTER CORP
Entity type:Organization
Organization Name:WINCREST NURSING CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NARAD
Authorized Official - Middle Name:
Authorized Official - Last Name:PERSADSINGH
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:773-338-7800
Mailing Address - Street 1:6326 WINTHROP
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660
Mailing Address - Country:US
Mailing Address - Phone:773-338-7800
Mailing Address - Fax:773-338-5515
Practice Address - Street 1:6326 N WINTHROP AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660
Practice Address - Country:US
Practice Address - Phone:773-338-7800
Practice Address - Fax:773-338-5515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1725483313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility