Provena Senior Services in Mokena - Skilled Nursing Facility
Provena Senior Services - NPI 1891780946
Provena Senior Services is a Skilled Nursing Facility in Mokena, Illinois. Provena Senior Services practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Provena Senior Services is 1891780946. The last update date is 2022-07-21.
Provena Senior Services's current location address is 19065 Hickory Creek Pl, Mokena, Illinois. You can contact this provider via phone number 7084787900 and fax number 7084785387. The mailing address for Provena Senior Services is 19065 Hickory Creek Pl, Mokena, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Provena Senior Services |
|---|---|
| Address | 19065 Hickory Creek Pl, Mokena, Illinois |
| Phone Number | 7084787900 |
| Fax Number | 7084785387 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DR. PATIEN |
|---|---|
| Authorized Official Name | Nichols A Denise |
| Telephone Number | 3155062351 |
NPI Number Detail
| NPI Number | 1891780946 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 19065 Hickory Creek Pl |
|---|---|
| City | Mokena |
| State | Illinois (IL) |
| Post Code | 604488507 |
| Phone Number | 7084787900 |
| Fax Number | 7084785387 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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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 identifier code issued to Provena Senior Services by the Centers for Medicare & Medicaid Services?
The Provena Senior Services has been assigned the NPI (National Provider Identifier) 1891780946 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Provena Senior Services?
The Provena Senior Services is physically situated at 19065 Hickory Creek Pl, in the city of Mokena, state of IL, with the postal code 604488507.
What is the Provena Senior Services's area of specialization and corresponding taxonomy classification?
The Provena Senior Services's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date did the Provena Senior Services receive its 1891780946 assignment from the Centers for Medicare & Medicaid Services?
The Provena Senior Services was assigned its 1891780946 by the Centers for Medicare & Medicaid Services on 2005-09-14.
As of what date were the details pertaining to Provena Senior Services last refreshed?
The information related to the Provena Senior Services, including its address, specialty, and other relevant details, was last updated on 2022-07-21.
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