BT BOURBONNAIS CARE LLC NPI 1518238500

NPI Information

  • NPI: 1518238500
  • Provider Name: BT BOURBONNAIS CARE, LLC
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • Doing Business As: BOURBONNAIS TERRACE N.H
  • Address: 133 MOHAWK DR
    BOURBONNAIS, IL
    ZIP 60914
  • Phone: (815) 937-4790

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NPI Details

BT BOURBONNAIS CARE, LLC is an intermediate care facility mental illness in Bourbonnais, IL. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. BT BOURBONNAIS CARE, LLC NPI is 1518238500. The provider is registered as an organization entity type.
The provider Is Doing Business As Bourbonnais Terrace N.h.

The provider's business location address is:

133 MOHAWK DR
BOURBONNAIS, IL
ZIP 60914-349
Phone: (815) 937-4790
Fax: (815) 937-0432

The provider's authorized official is Jamie Nickle .
The authorized official title is Director and has the following contact phone number (630) 501-0996.

The enumeration date for this NPI number is 1/23/2012 and was last updated on 1/31/2017.

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
1310500000XIntermediate Care Facility, Mental IllnessYes

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
10051631MEDICAIDILLINOIS

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: 11/21/2025

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