Waukegan Terrace in Skokie - Intermediate Care Facility, Mental Illness
Waukegan Terrace - NPI 1568413821
Waukegan Terrace is a Intermediate Care Facility, Mental Illness in Skokie, Illinois. Waukegan Terrace practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Waukegan Terrace is 1568413821. The last update date is 2020-10-30.
Waukegan Terrace's current location address is 5151 Church St, Skokie, Illinois. You can contact this provider via phone number 8479339200 and fax number 8476745794. The mailing address for Waukegan Terrace is 5151 Church St, Skokie, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Waukegan Terrace |
|---|---|
| Address | 5151 Church St, Skokie, Illinois |
| Phone Number | 8479339200 |
| Fax Number | 8476745794 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CE0 |
|---|---|
| Authorized Official Name | Weinfeld Avrum |
| Telephone Number | 8476745795 |
NPI Number Detail
| NPI Number | 1568413821 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2020-10-30 |
Provider Mailing Address Detail
| Address | 5151 Church St |
|---|---|
| City | Skokie |
| State | Illinois (IL) |
| Post Code | 600771123 |
| Phone Number | 8479339200 |
| Fax Number | 8476745794 |
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 |
|---|---|---|---|
| 54304 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Waukegan Terrace by the Centers for Medicare & Medicaid Services?
The Waukegan Terrace has been assigned the NPI (National Provider Identifier) 1568413821. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Waukegan Terrace is located?
The Waukegan Terrace is situated at the following address: 5151 Church St, Skokie, IL, 600771123.
What is the Waukegan Terrace's specialty and taxonomy code?
The Waukegan Terrace's specialty is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy code is 310500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568413821 to Waukegan Terrace?
The Waukegan Terrace received its 1568413821 assignment from the Centers for Medicare & Medicaid Services on 2006-05-12.
As of what date were the details related to Waukegan Terrace most recently updated or revised?
The information pertaining to Waukegan Terrace, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-30.