Decatur Manor Healthcare, Llc in Lincolnwood - Intermediate Care Facility, Mental Illness
Decatur Manor Healthcare, Llc - NPI 1134126063
Decatur Manor Healthcare, Llc is a Intermediate Care Facility, Mental Illness in Lincolnwood, Illinois. Decatur Manor Healthcare, Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Decatur Manor Healthcare, Llc is 1134126063. The last update date is 2013-09-09.
Decatur Manor Healthcare, Llc's current location address is 6840 N Lincoln Ave, Lincolnwood, Illinois. You can contact this provider via phone number 8476757979 and fax number 8476750555. The mailing address for Decatur Manor Healthcare, Llc is 6840 N Lincoln Ave, Lincolnwood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Decatur Manor Healthcare, Llc |
|---|---|
| Address | 6840 N Lincoln Ave, Lincolnwood, Illinois |
| Phone Number | 8476757979 |
| Fax Number | 8476750555 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Winter Thomas |
| Credentials | CPA |
| Telephone Number | 8476757979 |
NPI Number Detail
| NPI Number | 1134126063 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2013-09-09 |
Provider Mailing Address Detail
| Address | 6840 N Lincoln Ave |
|---|---|
| City | Lincolnwood |
| State | Illinois (IL) |
| Post Code | 607122628 |
| Phone Number | 8476757979 |
| Fax Number | 8476750555 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
|
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 |
|---|---|---|---|
| 612731133 | IL | -- | |
| 370969602 | IL | -- | |
| 31CX5 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Decatur Manor Healthcare, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Decatur Manor Healthcare, Llc has been assigned the NPI (National Provider Identifier) 1134126063. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Decatur Manor Healthcare, Llc is physically located?
The Decatur Manor Healthcare, Llc is physically situated at the following address: 6840 N Lincoln Ave, Lincolnwood, IL, 607122628.
What is Decatur Manor Healthcare, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Decatur Manor Healthcare, Llc is Intermediate Care Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 310500000X.
On what date was the 1134126063 assigned to Decatur Manor Healthcare, Llc?
The Decatur Manor Healthcare, Llc was issued its 1134126063 on 2005-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Decatur Manor Healthcare, Llc most recently updated or refreshed?
The details pertaining to the Decatur Manor Healthcare, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-09-09.
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