Benjamin Green Field Residence in Libertyville - Intermediate Care Facility, Intellectual Disabilities
Benjamin Green Field Residence - NPI 1275707127
Benjamin Green Field Residence is a Intermediate Care Facility, Intellectual Disabilities in Libertyville, Illinois. Benjamin Green Field Residence practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Benjamin Green Field Residence is 1275707127. The last update date is 2008-04-22.
Benjamin Green Field Residence's current location address is Po Box 520, Libertyville, Illinois. You can contact this provider via phone number 8473624636 and fax number 8473620742. The mailing address for Benjamin Green Field Residence is Po Box 520, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Benjamin Green Field Residence |
|---|---|
| Address | Po Box 520, Libertyville, Illinois |
| Phone Number | 8473624636 |
| Fax Number | 8473620742 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Mcguire Patriica |
| Credentials | CPA |
| Telephone Number | 8479903710 |
NPI Number Detail
| NPI Number | 1275707127 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | Po Box 520 |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600480520 |
| Phone Number | 8473624636 |
| Fax Number | 8473620742 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 41582 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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Post Comment/ Review Below
What is the Benjamin Green Field Residence's unique identification number?
The Benjamin Green Field Residence has been assigned the NPI (National Provider Identifier) Number 1275707127 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Benjamin Green Field Residence is physically located?
The Benjamin Green Field Residence is physically situated at the following address: Po Box 520, Libertyville, IL, 600480520.
What is Benjamin Green Field Residence's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Benjamin Green Field Residence is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275707127 to Benjamin Green Field Residence?
The Benjamin Green Field Residence received its 1275707127 assignment from the Centers for Medicare & Medicaid Services on 2008-04-22.
When was the Benjamin Green Field Residence's information last updated?
The Benjamin Green Field Residence's information was last updated on 2008-04-22.