SKOKIE MEADOWS NURSING CENTERS IILLC NPI 1003004565

NPI Information

NPI: 1003004565
Provider Name: SKOKIE MEADOWS NURSING CENTERS II,LLC
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Doing Business As: SKOKIE MEADOWS BEHAVIORAL HEALTH CTR
Address: 4600 GOLF RD
SKOKIE, IL
ZIP 60076
Phone: (847) 679-4161

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NPI Details

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 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310500000X	Intermediate Care Facility, Mental Illness		0031393	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========001	MEDICAID	ILLINOIS

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: 3/30/2025

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