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MRS. MELISSA JAYNE BANEVICH-GLAROS OTR/L NPI 1912266149


NPI Information

NPI: 1912266149
Provider Name: MRS. MELISSA JAYNE BANEVICH-GLAROS, OTR/L
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Individual
Address:
19350 BOULDER RIDGE DR
MOKENA, IL
ZIP 60448
Phone: (708) 257-1009
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MRS. Melissa Jayne Banevich-glaros, OTR/L is a skilled nursing facility in Mokena, 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. MRS. Melissa Jayne Banevich-glaros, OTR/L NPI is 1912266149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19350 BOULDER RIDGE DR
MOKENA, IL
ZIP 60448-238
Phone: (708) 257-1009

The enumeration date for this NPI number is 5/8/2012 and was last updated on 5/8/2012.


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 Facility05605261ILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.