{"npi":"1689799900","type":"NPI-2","status":"active","name":{"display":"Prairie Manor Nursing & Rehabilitation Center LLC","other":[],"organization_name":"PRAIRIE MANOR NURSING & REHABILITATION CENTER LLC","authorised_official":"Levi Israel"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":"IL","license":"0046011"}]},"addresses":[{"purpose":"LOCATION","street_1":"345 DIXIE HWY","city":"CHICAGO HEIGHTS","state":"IL","postal_code":"604111757","country_code":"US","phone":"7087547601","fax":"7087545292"},{"purpose":"MAILING","street_1":"2201 MAIN ST","city":"EVANSTON","state":"IL","postal_code":"602021519","country_code":"US","phone":"8479053000","fax":"7087545292"}],"license":{"state":"IL","number":"0046011"},"identifiers":[{"type_code":"01","label":"Other","value":"50244","state":"IL","issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20030522000030","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"IL","pac_id":"1557271905"}]},"enumeration_date":"2007-03-20","last_updated":"2025-08-11","_meta":{"source":"NPPES","snapshot_date":"2025-08-11","doc_url":"https://findmynpi.com/api"}}