Pavilion Of Waukegan, Llc in Waukegan - Skilled Nursing Facility
Pavilion Of Waukegan, Llc - NPI 1871766741
Pavilion Of Waukegan, Llc is a Skilled Nursing Facility in Waukegan, Illinois. Pavilion Of Waukegan, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Pavilion Of Waukegan, Llc is 1871766741. The last update date is 2010-03-11.
Pavilion Of Waukegan, Llc's current location address is 2217 Washington St, Waukegan, Illinois. You can contact this provider via phone number 8472444100. The mailing address for Pavilion Of Waukegan, Llc is 2217 Washington St, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pavilion Of Waukegan, Llc |
|---|---|
| Address | 2217 Washington St, Waukegan, Illinois |
| Phone Number | 8472444100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Topper Aaron |
| Telephone Number | 8472444100 |
NPI Number Detail
| NPI Number | 1871766741 |
|---|---|
| Provider Enumeration Date | 2008-04-10 |
| Last Updated Date | 2010-03-11 |
Provider Mailing Address Detail
| Address | 2217 Washington St |
|---|---|
| City | Waukegan |
| State | Illinois (IL) |
| Post Code | 600855060 |
| Phone Number | 8472444100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 49809 |
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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 |
|---|---|---|---|
| 14-5621 | MEDICARE |
Post Comment/ Review Below
What is the Pavilion Of Waukegan, Llc's unique identification number?
The Pavilion Of Waukegan, Llc has been assigned the NPI (National Provider Identifier) Number 1871766741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Pavilion Of Waukegan, Llc's physical address?
The Pavilion Of Waukegan, Llc is physically located at 2217 Washington St, in the city of Waukegan, IL, with the postal code 600855060.
What is the Pavilion Of Waukegan, Llc's area of specialization and corresponding taxonomy classification?
The Pavilion Of Waukegan, Llc'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 Pavilion Of Waukegan, Llc receive its 1871766741 assignment from the Centers for Medicare & Medicaid Services?
The Pavilion Of Waukegan, Llc was assigned its 1871766741 by the Centers for Medicare & Medicaid Services on 2008-04-10.
When was the Pavilion Of Waukegan, Llc's information last updated?
The Pavilion Of Waukegan, Llc's information was last updated on 2010-03-11.