1629476056 NPI number — REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME

Table of content: (NPI 1629476056)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629476056 NPI number — REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
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:
VICTORIAN VILLAGE HEALTH AND WELLNESS CENTER
Provider Other Organization Name Type Code:
3
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:
1629476056
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18601 N CREEK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TINLEY PARK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60477-6397
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-342-8100
Provider Business Mailing Address Fax Number:
708-342-8006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12525 RENAISSANCE CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOMER GLEN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60491-5896
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-301-0800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/17/2014

Additional Information

Authorized Official

Authorized Official Last Name:
ZANDSTRA
Authorized Official First Name:
JOHANNA
Authorized Official Middle Name:
R
Authorized Official Title or Position:
COMPLIANCE OFFICER
Authorized Official Telephone Number:
708-342-8137

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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