Montgomery Place in Chicago - Nursing Facility/intermediate Care Facility
Montgomery Place - NPI 1811018112
Montgomery Place is a Nursing Facility/intermediate Care Facility in Chicago, Illinois. Montgomery Place practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Montgomery Place is 1811018112. The last update date is 2021-03-03.
Montgomery Place's current location address is 5550 S Shore Dr, Chicago, Illinois. You can contact this provider via phone number 7737534100 and fax number 7737520056. The mailing address for Montgomery Place is 5550 S Shore Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Montgomery Place |
|---|---|
| Address | 5550 S Shore Dr, Chicago, Illinois |
| Phone Number | 7737534100 |
| Fax Number | 7737520056 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Hart E Deborah |
| Telephone Number | 7737534096 |
NPI Number Detail
| NPI Number | 1811018112 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2021-03-03 |
Provider Mailing Address Detail
| Address | 5550 S Shore Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606375051 |
| Phone Number | 7737534100 |
| Fax Number | 7737520056 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 37515 |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14D0895395 | CLIA WAIVER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Montgomery Place by the Centers for Medicare & Medicaid Services?
The Montgomery Place has been issued the NPI (National Provider Identifier) 1811018112, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Montgomery Place's facilities are situated?
The facilities of Montgomery Place are physically located at the following address: 5550 S Shore Dr, Chicago, IL, 606375051.
What is Montgomery Place's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Montgomery Place is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy classification code for this specialized field is 313M00000X.
When did Montgomery Place receive its 1811018112 assignment?
The Montgomery Place was assigned its 1811018112 on 2007-04-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Montgomery Place most recently updated or revised?
The information pertaining to Montgomery Place, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-03.