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JOLIET TERRACE OPERATOR LLC NPI 1134209364


NPI Information

NPI: 1134209364
Provider Name: JOLIET TERRACE OPERATOR LLC

Former Legal Business Name: JOLIET TERRACE

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 14D0938656

Address:
2230 MCDONOUGH ST
JOLIET, IL
ZIP 60436
Phone: (815) 729-3801
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JOLIET TERRACE OPERATOR LLC is a nursing facility intermediate care facility in Joliet, IL. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. JOLIET TERRACE OPERATOR LLC NPI is 1134209364. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Joliet Terrace.

The provider's business location address is:

2230 MCDONOUGH ST
JOLIET, IL
ZIP 60436-842
Phone: (815) 729-3801
Fax: (815) 730-0960

The provider's authorized official is Avrum Weinfeld .
The authorized official title is Cfo and has the following contact phone number (847) 674-5795.

The CLIA number assigned to this NPI record is 14D0938656 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1313M00000XNursing Facility/Intermediate Care Facility0022905ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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