PARK LAWN HOME NPI 1285943134

NPI Information

NPI: 1285943134
Provider Name: PARK LAWN HOME
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
10833 LAPORTE AVE
OAK LAWN, IL
ZIP 60453
Phone: (708) 425-3344
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PARK LAWN HOME is an intermediate care facility mentally retarded in Oak Lawn, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PARK LAWN HOME NPI is 1285943134. The provider is registered as an organization entity type.

The provider's business location address is:

10833 LAPORTE AVE
OAK LAWN, IL
ZIP 60453-412
Phone: (708) 425-3344
Fax: (708) 425-3530

The provider's authorized official is James R. Weise .
The authorized official title is Executive Director and has the following contact phone number (708) 425-3344.

The enumeration date for this NPI number is 9/27/2010 and was last updated on 9/27/2010.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities		0035527	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	0035527	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: 4/28/2024

NPI Synchronization or Removal

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