Elisabeth Ludeman Center in Park Forest - Intermediate Care Facility, Intellectual Disabilities
Elisabeth Ludeman Center - NPI 1972715258
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 1972715258. 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 | 1972715258 |
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Provider Enumeration Date | 2007-05-07 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 114 N Orchard Dr |
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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 |
---|---|---|---|
950447001 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Elisabeth Ludeman Center by the Centers for Medicare & Medicaid Services?
The Elisabeth Ludeman Center has been assigned the NPI (National Provider Identifier) 1972715258 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Elisabeth Ludeman Center located?
The Elisabeth Ludeman Center is located at 114 N Orchard Dr, Park Forest, IL 604661200.
What is Elisabeth Ludeman Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elisabeth Ludeman Center's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date was the 1972715258 assigned to Elisabeth Ludeman Center?
The Elisabeth Ludeman Center was issued its 1972715258 on 2007-05-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Elisabeth Ludeman Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Elisabeth Ludeman Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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