CLARIDGE IVY LTD NPI 1528139292

NPI Information

NPI: 1528139292
Provider Name: CLARIDGE IVY, LTD

Doing Business As: THE IVY APARTMENTS AT THE IMPERIAL

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2437 N SOUTHPORT AVE
CHICAGO, IL
ZIP 60614
Phone: (773) 472-8400
Get Directions

CLARIDGE IVY, LTD 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. CLARIDGE IVY, LTD NPI is 1528139292. The provider is registered as an organization entity type.
The provider Is Doing Business As The Ivy Apartments At The Imperial.

The provider's business location address is:

2437 N SOUTHPORT AVE
CHICAGO, IL
ZIP 60614-060
Phone: (773) 472-8400
Fax: (773) 248-3651

The provider's authorized official is Joyce Rudd .
The authorized official title is Medicare Manager and has the following contact phone number (847) 933-2600.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 4/20/2008.

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	310400000X	Assisted Living Facility			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	=========001	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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