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ARDEN COURTS OF SOUTH HOLLAND IL LLC NPI 1265689749


NPI Information

NPI: 1265689749
Provider Name: ARDEN COURTS OF SOUTH HOLLAND IL LLC

Doing Business As: ARDEN COURTS OF SOUTH HOLLAND

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 14D0926702

Address:
2045 E 170TH ST
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 895-1600
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ARDEN COURTS OF SOUTH HOLLAND IL LLC is an assisted living facility in South Holland, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ARDEN COURTS OF SOUTH HOLLAND IL LLC NPI is 1265689749. The provider is registered as an organization entity type.
The provider Is Doing Business As Arden Courts Of South Holland.

The provider's business location address is:

2045 E 170TH ST
SOUTH HOLLAND, IL
ZIP 60473-712
Phone: (708) 895-1600
Fax: (708) 895-2600

The provider's authorized official is Barry A Lazarus .
The authorized official title is Vice President-reimbursement and has the following contact phone number (419) 252-5541.

The CLIA number assigned to this NPI record is 14D0926702 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2008 and was last updated on 8/26/2008.


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
1310400000XAssisted Living FacilityYes

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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