Imperial Of Hazel Crest in Hazel Crest - Skilled Nursing Facility

Imperial Of Hazel Crest - NPI 1376744250

Imperial Of Hazel Crest is a Skilled Nursing Facility in Hazel Crest, Illinois. Imperial Of Hazel Crest practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Imperial Of Hazel Crest is 1376744250. The last update date is 2020-08-22.

Imperial Of Hazel Crest's current location address is 3300 175th St, Hazel Crest, Illinois. You can contact this provider via phone number 7083352400 and fax number 7083351825. The mailing address for Imperial Of Hazel Crest is 3300 175th St, Hazel Crest, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Imperial Of Hazel Crest
Address 3300 175th St, Hazel Crest, Illinois
Phone Number 7083352400
Fax Number 7083351825
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Carter Marcita
Telephone Number 7083352400

NPI Number Detail

NPI Number 1376744250
Provider Enumeration Date 2007-05-30
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3300 175th St
City Hazel Crest
State Illinois (IL)
Post Code 604291604
Phone Number 7083352400
Fax Number 7083351825

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 40402
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40402 IL --

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FAQs about Imperial Of Hazel Crest

What is the Imperial Of Hazel Crest's 1376744250?

The Imperial Of Hazel Crest's NPI (National Provider Identifier) Number is 1376744250. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Imperial Of Hazel Crest is located?

The Imperial Of Hazel Crest is situated at the following address: 3300 175Th St, Hazel Crest, IL, 604291604.

What is Imperial Of Hazel Crest's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Imperial Of Hazel Crest's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.

When did the Imperial Of Hazel Crest receive its 1376744250?

The Imperial Of Hazel Crest was issued its 1376744250 on 2007-05-30, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Imperial Of Hazel Crest, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Imperial Of Hazel Crest, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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