Healthcare Provider Details

I. General information

NPI: 1528934452
Provider Name (Legal Business Name): ARBORVIEW AT RUSTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 HIGHWAY 80
RUSTON LA
71270-8943
US

IV. Provider business mailing address

6865 N LINCOLN AVE
LINCOLNWOOD IL
60712-4611
US

V. Phone/Fax

Practice location:
  • Phone: 847-221-6444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ABRAHAM GUTNICKI
Title or Position: MEDICARE AUTHORIZED OFFICIAL
Credential:
Phone: 847-221-6444