Abbott House, Llc in Highland Park - Intermediate Care Facility, Mental Illness
Abbott House, Llc - NPI 1194859892
Abbott House, Llc is a Intermediate Care Facility, Mental Illness in Highland Park, Illinois. Abbott House, Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Abbott House, Llc is 1194859892. The last update date is 2020-08-22.
Abbott House, Llc's current location address is 405 Central Ave, Highland Park, Illinois. You can contact this provider via phone number 8474326080 and fax number 8474327286. The mailing address for Abbott House, Llc is 405 Central Ave, Highland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Abbott House, Llc |
|---|---|
| Address | 405 Central Ave, Highland Park, Illinois |
| Phone Number | 8474326080 |
| Fax Number | 8474327286 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Fishman K Ivy |
| Credentials | MHA |
| Telephone Number | 8474326080 |
NPI Number Detail
| NPI Number | 1194859892 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 405 Central Ave |
|---|---|
| City | Highland Park |
| State | Illinois (IL) |
| Post Code | 600352622 |
| Phone Number | 8474326080 |
| Fax Number | 8474327286 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | 23739 |
|
Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23739 | IL | PUBLIC HEALTH LICENSE NUM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Abbott House, Llc by the Centers for Medicare & Medicaid Services?
The Abbott House, Llc has been issued the NPI (National Provider Identifier) 1194859892, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Abbott House, Llc?
The Abbott House, Llc is physically situated at 405 Central Ave, in the city of Highland Park, state of IL, with the postal code 600352622.
What is Abbott House, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Abbott House, Llc is Intermediate Care Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 310500000X.
On what date was the 1194859892 assigned to Abbott House, Llc?
The Abbott House, Llc was issued its 1194859892 on 2007-03-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Abbott House, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Abbott House, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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