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SKOKIE MEADOWS NURSING CENTERS IILLC NPI 1003004565


NPI Profile

NPI: 1003004565
Provider Name: SKOKIE MEADOWS NURSING CENTERS II,LLC

Doing Business As: SKOKIE MEADOWS BEHAVIORAL HEALTH CTR

Classification:Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

CLIA Number: 14D0882844

Address:
4600 GOLF RD
SKOKIE, IL
ZIP 60076
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Phone: (847) 679-4161

SKOKIE MEADOWS NURSING CENTERS II,LLC 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. SKOKIE MEADOWS NURSING CENTERS II,LLC NPI is 1003004565. The provider is registered as an organization entity type.
The provider Is Doing Business As Skokie Meadows Behavioral Health Ctr.

The provider's business location address is:

4600 GOLF RD
SKOKIE, IL
ZIP 60076-210
Phone: (847) 679-4161
Fax: (847) 679-3241

The provider's authorized official is Mark Appel .
The authorized official title is Member and has the following contact phone number (847) 679-4161.

The CLIA number assigned to this NPI record is 14D0882844 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 5/24/2016.


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 Illness0031393ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========001MEDICAIDILLINOIS

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: 5/9/2021

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