Cc Lake Inc in Glenview - Skilled Nursing Facility
Cc Lake Inc - NPI 1649220906
Cc Lake Inc is a Skilled Nursing Facility in Glenview, Illinois. Cc Lake Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Cc Lake Inc is 1649220906. The last update date is 2019-03-19.
Cc Lake Inc's current location address is 2401 Indigo Ln, Glenview, Illinois. You can contact this provider via phone number 8479044710 and fax number 8479044705. The mailing address for Cc Lake Inc is 2401 Indigo Ln, Glenview, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cc Lake Inc |
|---|---|
| Address | 2401 Indigo Ln, Glenview, Illinois |
| Phone Number | 8479044710 |
| Fax Number | 8479044705 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SVP & GENE |
|---|---|
| Authorized Official Name | Cope Tara |
| Telephone Number | 3128038555 |
NPI Number Detail
| NPI Number | 1649220906 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2019-03-19 |
Provider Mailing Address Detail
| Address | 2401 Indigo Ln |
|---|---|
| City | Glenview |
| State | Illinois (IL) |
| Post Code | 600261299 |
| Phone Number | 8479044710 |
| Fax Number | 8479044705 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1705143 |
|
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 |
|
Post Comment/ Review Below
What is the Cc Lake Inc's 1649220906?
The Cc Lake Inc's NPI (National Provider Identifier) Number is 1649220906. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Cc Lake Inc?
The Cc Lake Inc is physically situated at 2401 Indigo Ln, in the city of Glenview, state of IL, with the postal code 600261299.
What is the Cc Lake Inc's specialty and taxonomy code?
The Cc Lake Inc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649220906 to Cc Lake Inc?
The Centers for Medicare & Medicaid Services assigned the 1649220906 to Cc Lake Inc on 2006-05-10.
As of what date was the information pertaining to Cc Lake Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Cc Lake Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-03-19.