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WESTMONT CONVALESCENT CENTER NPI 1003805672


NPI Information

NPI: 1003805672
Provider Name: WESTMONT CONVALESCENT CENTER
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 14D0664232

Address:
6501 S CASS AVE
WESTMONT, IL
ZIP 60559
Phone: (630) 960-2026
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WESTMONT CONVALESCENT CENTER is an adult care home custodial care facility in Westmont, IL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. WESTMONT CONVALESCENT CENTER NPI is 1003805672. The provider is registered as an organization entity type.

The provider's business location address is:

6501 S CASS AVE
WESTMONT, IL
ZIP 60559-200
Phone: (630) 960-2026
Fax: (630) 724-0245

The provider's authorized official is David Cheplowitz .
The authorized official title is Administrator and has the following contact phone number (630) 960-2026.

The CLIA number assigned to this NPI record is 14D0664232 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2005 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
1311ZA0620XCustodial Care FacilityAdult Care Home0030015ILLINOISYes

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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