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RIVIERA MANOR NURSING HOME NPI 1528062098


NPI Information

NPI: 1528062098
Provider Name: RIVIERA MANOR NURSING HOME

Other Name: NONE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
490 W 16TH PL
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 481-4444
Get Directions

RIVIERA MANOR NURSING HOME is a skilled nursing facility in Chicago Heights, IL. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. RIVIERA MANOR NURSING HOME NPI is 1528062098. The provider is registered as an organization entity type.
The provider Other Name Is None.

The provider's business location address is:

490 W 16TH PL
CHICAGO HEIGHTS, IL
ZIP 60411-224
Phone: (708) 481-4444
Fax: (708) 481-4606

The provider's authorized official is Richard S. Potekin .
The authorized official title is Administrator and has the following contact phone number (708) 481-4444.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 8/22/2020.


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
1314000000XSkilled Nursing Facility0004473ILLINOISYes

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
100004473MEDICAIDILLINOIS

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: 5/5/2024

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