IVY GARDEN ADULT ACTIVITY CENTER LLC NPI 1255096640

NPI Information

NPI: 1255096640
Provider Name: IVY GARDEN ADULT ACTIVITY CENTER LLC

Doing Business As: IVY GARDEN COMMUNITY CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
2929 S HALSTED ST
CHICAGO, IL
ZIP 60608
Phone: (312) 929-4577
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IVY GARDEN ADULT ACTIVITY CENTER LLC is an adult day care clinic center in Chicago, IL. IVY GARDEN ADULT ACTIVITY CENTER LLC NPI is 1255096640. The provider is registered as an organization entity type.
The provider Is Doing Business As Ivy Garden Community Center.

The provider's business location address is:

2929 S HALSTED ST
CHICAGO, IL
ZIP 60608-803
Phone: (312) 929-4577
Fax: (312) 763-6158

The provider's authorized official is Yman Vien .
The authorized official title is Director Of Planning and has the following contact phone number (312) 203-9988.

The enumeration date for this NPI number is 11/1/2021 and was last updated on 11/4/2021.

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	261QA0600X	Clinic/Center	Adult Day Care			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	ADS2212020	OTHER	ILLINOIS	IDOA ADS

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: 11/14/2023

NPI Synchronization or Removal

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