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THE OLD PEOPLE'S HOME OF THE CITY OF CHICAGO NPI 1508922683


NPI Information

NPI: 1508922683
Provider Name: THE OLD PEOPLE'S HOME OF THE CITY OF CHICAGO

Doing Business As: THE ADMIRAL AT THE LAKE

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 14D2045111

Address:
909 W FOSTER AVE
CHICAGO, IL
ZIP 60640
Phone: (773) 654-5077
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THE OLD PEOPLE'S HOME OF THE CITY OF CHICAGO is a nursing facility intermediate care facility in Chicago, IL. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. THE OLD PEOPLE'S HOME OF THE CITY OF CHICAGO NPI is 1508922683. The provider is registered as an organization entity type.
The provider Is Doing Business As The Admiral At The Lake.

The provider's business location address is:

909 W FOSTER AVE
CHICAGO, IL
ZIP 60640-481
Phone: (773) 654-5077
Fax: (773) 561-2573

The provider's authorized official is Glenn Brichacek .
The authorized official title is President/ceo and has the following contact phone number (773) 561-2900.

The CLIA number assigned to this NPI record is 14D2045111 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2006 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
1313M00000XNursing Facility/Intermediate Care FacilityILLINOISYes

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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