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BLC - PARK PLACE LLC NPI 1679633192


NPI Information

NPI: 1679633192
Provider Name: BLC - PARK PLACE, LLC

Doing Business As: PARK PLACE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
330 N WABASH AVE
SUITE 1400
CHICAGO, IL
ZIP 60611
Phone: (312) 977-3700
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BLC - PARK PLACE, LLC 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. BLC - PARK PLACE, LLC NPI is 1679633192. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Place.

The provider's business location address is:

330 N WABASH AVE
SUITE 1400
CHICAGO, IL
ZIP 60611-586
Phone: (312) 977-3700

The provider's authorized official is Mark J. Schulte .
The authorized official title is Ceo and has the following contact phone number (312) 977-3700.

The enumeration date for this NPI number is 12/12/2006 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
1310400000XAssisted Living FacilityBH 1759WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1652398MEDICAIDWASHINGTON

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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