Elisabeth Ludeman Center in Park Forest - Intermediate Care Facility, Intellectual Disabilities
Elisabeth Ludeman Center - NPI 1538380548
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 1538380548. 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 | 1538380548 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| 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 |
|---|---|---|---|
| 950227001 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elisabeth Ludeman Center?
The Elisabeth Ludeman Center has been issued the NPI (National Provider Identifier) 1538380548 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
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 Elisabeth Ludeman Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Elisabeth Ludeman Center is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
On what date did Elisabeth Ludeman Center receive its 1538380548 assignment from the Centers for Medicare & Medicaid Services?
The Elisabeth Ludeman Center was assigned its 1538380548 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Elisabeth Ludeman Center's details last updated?
The information pertaining to the Elisabeth Ludeman Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.