Bloomingdale Pavilion, Llc in Bloomingdale - Skilled Nursing Facility
Bloomingdale Pavilion, Llc - NPI 1881681245
Bloomingdale Pavilion, Llc is a Skilled Nursing Facility in Bloomingdale, Illinois. Bloomingdale Pavilion, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Bloomingdale Pavilion, Llc is 1881681245. The last update date is 2020-08-22.
Bloomingdale Pavilion, Llc's current location address is 311 Edgewater Dr, Bloomingdale, Illinois. You can contact this provider via phone number 6308947400 and fax number 6308948528. The mailing address for Bloomingdale Pavilion, Llc is 311 Edgewater Dr, Bloomingdale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bloomingdale Pavilion, Llc |
|---|---|
| Address | 311 Edgewater Dr, Bloomingdale, Illinois |
| Phone Number | 6308947400 |
| Fax Number | 6308948528 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MDS/CARE P |
|---|---|
| Authorized Official Name | Solis Josephine |
| Credentials | L.P.N. |
| Telephone Number | 6308947400 |
NPI Number Detail
| NPI Number | 1881681245 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 311 Edgewater Dr |
|---|---|
| City | Bloomingdale |
| State | Illinois (IL) |
| Post Code | 601081979 |
| Phone Number | 6308947400 |
| Fax Number | 6308948528 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 44347 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique 10-digit identification code issued to Bloomingdale Pavilion, Llc by the Centers for Medicare & Medicaid Services?
The Bloomingdale Pavilion, Llc has been assigned the NPI (National Provider Identifier) 1881681245 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Bloomingdale Pavilion, Llc's facilities are situated?
The facilities of Bloomingdale Pavilion, Llc are physically located at the following address: 311 Edgewater Dr, Bloomingdale, IL, 601081979.
What is Bloomingdale Pavilion, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bloomingdale Pavilion, Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881681245 to Bloomingdale Pavilion, Llc?
The Bloomingdale Pavilion, Llc received its 1881681245 assignment from the Centers for Medicare & Medicaid Services on 2005-09-30.
As of what date was the information regarding Bloomingdale Pavilion, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bloomingdale Pavilion, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC