Maple Ridge Care Centre Llc in Lincoln - Skilled Nursing Facility
Maple Ridge Care Centre Llc - NPI 1609852847
Maple Ridge Care Centre Llc is a Skilled Nursing Facility in Lincoln, Illinois. Maple Ridge Care Centre Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Maple Ridge Care Centre Llc is 1609852847. The last update date is 2011-10-04.
Maple Ridge Care Centre Llc's current location address is 2202 N Kickapoo St, Lincoln, Illinois. You can contact this provider via phone number 2177351538 and fax number 2177324818. The mailing address for Maple Ridge Care Centre Llc is 2202 N Kickapoo St, Lincoln, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maple Ridge Care Centre Llc |
|---|---|
| Address | 2202 N Kickapoo St, Lincoln, Illinois |
| Phone Number | 2177351538 |
| Fax Number | 2177324818 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Braun Charles Michael |
| Telephone Number | 8475830100 |
NPI Number Detail
| NPI Number | 1609852847 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2011-10-04 |
Provider Mailing Address Detail
| Address | 2202 N Kickapoo St |
|---|---|
| City | Lincoln |
| State | Illinois (IL) |
| Post Code | 626561306 |
| Phone Number | 2177351538 |
| Fax Number | 2177324818 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 42366 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42366 | IL | IDPH LICENSE NUMBER | |
| 6005490 | IL | IDPH FACILITY NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Maple Ridge Care Centre Llc by the Centers for Medicare & Medicaid Services?
The Maple Ridge Care Centre Llc has been assigned the NPI (National Provider Identifier) 1609852847 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Maple Ridge Care Centre Llc is located?
The Maple Ridge Care Centre Llc is situated at the following address: 2202 N Kickapoo St, Lincoln, IL, 626561306.
What is Maple Ridge Care Centre Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Maple Ridge Care Centre Llc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date did the Maple Ridge Care Centre Llc receive its 1609852847 assignment from the Centers for Medicare & Medicaid Services?
The Maple Ridge Care Centre Llc was assigned its 1609852847 by the Centers for Medicare & Medicaid Services on 2005-12-20.
As of what date was the information regarding Maple Ridge Care Centre Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Maple Ridge Care Centre Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-04.
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