Plymouth Place, Inc. in La Grange Park - Skilled Nursing Facility
Plymouth Place, Inc. - NPI 1497884696
Plymouth Place, Inc. is a Skilled Nursing Facility in La Grange Park, Illinois. Plymouth Place, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Plymouth Place, Inc. is 1497884696. The last update date is 2013-07-29.
Plymouth Place, Inc.'s current location address is 315 N. La Grange Road, La Grange Park, Illinois. You can contact this provider via phone number 7084826668. The mailing address for Plymouth Place, Inc. is 315 N. La Grange Road, La Grange Park, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Plymouth Place, Inc. |
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Address | 315 N. La Grange Road, La Grange Park, Illinois |
Phone Number | 7084826668 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | C.E.O. |
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Authorized Official Name | Lilburn Dale |
Telephone Number | 7084826668 |
NPI Number Detail
NPI Number | 1497884696 |
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Provider Enumeration Date | 2007-03-05 |
Last Updated Date | 2013-07-29 |
Provider Mailing Address Detail
Address | 315 N. La Grange Road |
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City | La Grange Park |
State | Illinois (IL) |
Post Code | 605265695 |
Phone Number | 7084826668 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Licence No | 12898 |
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 Plymouth Place, Inc. by the Centers for Medicare & Medicaid Services?
The Plymouth Place, Inc. has been assigned the NPI (National Provider Identifier) 1497884696 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Plymouth Place, Inc. is located?
The Plymouth Place, Inc. is situated at the following address: 315 N. La Grange Road, La Grange Park, IL, 605265695.
What is Plymouth Place, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Plymouth Place, Inc. is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Plymouth Place, Inc. receive its 1497884696 assignment from the Centers for Medicare & Medicaid Services?
The Plymouth Place, Inc. was assigned its 1497884696 by the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date was the information regarding Plymouth Place, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Plymouth Place, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-07-29.
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