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PARKVIEW HOME OF FREEPORT ILLINOIS INC. NPI 1588731608


NPI Information

NPI: 1588731608
Provider Name: PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 14D0874885

Address:
1234 S PARK BLVD
FREEPORT, IL
ZIP 61032
Phone: (815) 232-8612
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PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. is a nursing facility intermediate care facility in Freeport, 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. PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. NPI is 1588731608. The provider is registered as an organization entity type.

The provider's business location address is:

1234 S PARK BLVD
FREEPORT, IL
ZIP 61032-602
Phone: (815) 232-8612
Fax: (815) 232-8686

The provider's authorized official is Debra Gitz .
The authorized official title is Adminstrator and has the following contact phone number (815) 232-8612.

The CLIA number assigned to this NPI record is 14D0874885 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1313M00000XNursing Facility/Intermediate Care Facility0012526ILLINOISYes

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: 11/14/2023

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