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7140 DORCHESTER PROPERTIES LLC NPI 1447760715


NPI Information

NPI: 1447760715
Provider Name: 7140 DORCHESTER PROPERTIES LLC

Doing Business As: EDEN SOUTH SHORE LLC

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
7156 S DORCHESTER AVE
CHICAGO, IL
ZIP 60619
Phone: (773) 466-6868
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7140 DORCHESTER PROPERTIES LLC is an assisted living facility in Chicago, 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. 7140 DORCHESTER PROPERTIES LLC NPI is 1447760715. The provider is registered as an organization entity type.
The provider Is Doing Business As Eden South Shore Llc.

The provider's business location address is:

7156 S DORCHESTER AVE
CHICAGO, IL
ZIP 60619
Phone: (773) 466-6868

The provider's authorized official is Faizan Siddique .
The authorized official title is Business Office Manager and has the following contact phone number (773) 466-6868.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 7/21/2022.


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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