1326490871 NPI number — MIDWEST POST-ACUTE CARE OF CALIFORNIA PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326490871 NPI number — MIDWEST POST-ACUTE CARE OF CALIFORNIA PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIDWEST POST-ACUTE CARE OF CALIFORNIA PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326490871
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/09/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 80695
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CITY OF INDUSTRY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91716-8415
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-705-8722
Provider Business Mailing Address Fax Number:
888-705-8722

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 N LA SALLE ST STE 1550
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60601-1034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-705-8722
Provider Business Practice Location Address Fax Number:
888-705-8722
Provider Enumeration Date:
07/08/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CANNONE
Authorized Official First Name:
SEAN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
888-660-4425

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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