4621 CORPORATION is a skilled nursing facility in Chicago, IL. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. 4621 CORPORATION NPI is 1871580126. The provider is registered as an organization entity type.
The provider Is Doing Business As Mado Healthcare - Uptown.
The provider's business location address is:
4621 N RACINE AVE
CHICAGO, IL
ZIP 60640-905
Phone: (773) 784-2300
Fax: (773) 769-4621
The provider's authorized official is Peter J Obrien .
The authorized official title is President and has the following contact phone number (312) 787-9400.
The CLIA number assigned to this NPI record is 14D0896614 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/3/2005 and was last updated on 4/8/2019.