Elisabeth Ludeman Center in Park Forest - Intermediate Care Facility, Intellectual Disabilities
Elisabeth Ludeman Center - NPI 1205049350
Elisabeth Ludeman Center is a Intermediate Care Facility, Intellectual Disabilities in Park Forest, Illinois. Elisabeth Ludeman Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Elisabeth Ludeman Center is 1205049350. The last update date is 2020-08-22.
Elisabeth Ludeman Center's current location address is 114 N Orchard Dr, Park Forest, Illinois. You can contact this provider via phone number 7082833000 and fax number 7082833020. The mailing address for Elisabeth Ludeman Center is 114 N Orchard Dr, Park Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elisabeth Ludeman Center |
|---|---|
| Address | 114 N Orchard Dr, Park Forest, Illinois |
| Phone Number | 7082833000 |
| Fax Number | 7082833020 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Patwari Rajani |
| Credentials | M.D. |
| Telephone Number | 7082833011 |
NPI Number Detail
| NPI Number | 1205049350 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 114 N Orchard Dr |
|---|---|
| City | Park Forest |
| State | Illinois (IL) |
| Post Code | 604661200 |
| Phone Number | 7082833000 |
| Fax Number | 7082833020 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 950457001 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elisabeth Ludeman Center by the Centers for Medicare & Medicaid Services (CMS)?
The Elisabeth Ludeman Center has been assigned the NPI (National Provider Identifier) 1205049350. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Elisabeth Ludeman Center's physical address?
The Elisabeth Ludeman Center is physically located at 114 N Orchard Dr, in the city of Park Forest, IL, with the postal code 604661200.
What is the Elisabeth Ludeman Center's specialty and taxonomy code?
The Elisabeth Ludeman Center's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
When did Elisabeth Ludeman Center receive its 1205049350 assignment?
The Elisabeth Ludeman Center was assigned its 1205049350 on 2007-05-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Elisabeth Ludeman Center most recently updated or revised?
The information pertaining to Elisabeth Ludeman Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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