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VICTORY CENTRE OF GALEWOOD LLC NPI 1861638181


NPI Information

NPI: 1861638181
Provider Name: VICTORY CENTRE OF GALEWOOD LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 14D2110333

Address:
2370 N NEWCASTLE AVE
CHICAGO, IL
ZIP 60707
Phone: (773) 385-5002
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VICTORY CENTRE OF GALEWOOD 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. VICTORY CENTRE OF GALEWOOD LLC NPI is 1861638181. The provider is registered as an organization entity type.

The provider's business location address is:

2370 N NEWCASTLE AVE
CHICAGO, IL
ZIP 60707-955
Phone: (773) 385-5002
Fax: (773) 385-9858

The provider's authorized official is Kristen Becht .
The authorized official title is Risk Manager and has the following contact phone number (312) 837-0710.

The CLIA number assigned to this NPI record is 14D2110333 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2008 and was last updated on 4/11/2019.


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 FacilityILLINOISYes

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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