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VANDALIA TERRACE LTD NPI 1851359871


NPI Information

NPI: 1851359871
Provider Name: VANDALIA TERRACE, LTD
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
3845 OAKTON ST
SKOKIE, IL
ZIP 60076
Phone: (847) 679-0100
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VANDALIA TERRACE, LTD is an intermediate care facility mental illness in Skokie, IL. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. VANDALIA TERRACE, LTD NPI is 1851359871. The provider is registered as an organization entity type.

The provider's business location address is:

3845 OAKTON ST
SKOKIE, IL
ZIP 60076-429
Phone: (847) 679-0100
Fax: (847) 679-0673

The provider's authorized official is Byron Witt .
The authorized official title is Administrator and has the following contact phone number (618) 283-1434.

The enumeration date for this NPI number is 5/1/2006 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
1310500000XIntermediate Care Facility, Mental Illness1687983ILLINOISYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.