Waterford Estates

LBN: 17400 S Kedzie Ave Llc
Waterford Estates is an health care organization with primary practice located at 17400 Kedzie Ave , Hazel Crest IL 60429-1600. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. 17400 S Kedzie Ave Llc can be contacted via phone (618) 780-3256, or through Peterson, Ashley via phone (813) 415-7589.

Contact Information

Primary practice address
17400 Kedzie Ave Hazel Crest IL 60429-1600
Phone: (618) 780-3256
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Ashley
Phone: (813) 415-7589

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X

Profile Details

NPI number 1578321311
LBN Legal business name 17400 S Kedzie Ave Llc
DBA Doing business as Waterford Estates
Authorized official Peterson, Ashley
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2024
Last updated May 17th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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