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BRYN MAWR CARE INC. NPI 1891790242


NPI Information

NPI: 1891790242
Provider Name: BRYN MAWR CARE, INC.
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

CLIA Number: 14D0887883

Address:
5547 N KENMORE AVE
CHICAGO, IL
ZIP 60640
Phone: (773) 561-7040
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BRYN MAWR CARE, INC. is an intermediate care facility mental illness in Chicago, 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. BRYN MAWR CARE, INC. NPI is 1891790242. The provider is registered as an organization entity type.

The provider's business location address is:

5547 N KENMORE AVE
CHICAGO, IL
ZIP 60640-515
Phone: (773) 561-7040
Fax: (773) 561-7543

The provider's authorized official is Thomas Winter .
The authorized official title is Cfo and has the following contact phone number (847) 675-7979.

The CLIA number assigned to this NPI record is 14D0887883 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 9/4/2015.


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 Illness0035618ILLINOISYes

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

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