1815 Ridge Avenue Llc

LBN: 1815 Ridge Avenue Llc
1815 Ridge Avenue Llc is an health care organization with primary practice located at 1815 Ridge Ave , Evanston IL 60201-3662. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. 1815 Ridge Avenue Llc can be contacted via phone (847) 960-5555, or through Cosentino, Melissa Anne via phone (847) 960-5555.

Contact Information

Primary practice address
1815 Ridge Ave Evanston IL 60201-3662
Phone: (847) 960-5555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cosentino, Melissa Anne MSW, CDP
Phone: (847) 960-5555

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1073288494
LBN Legal business name 1815 Ridge Avenue Llc
DBA Doing business as
Authorized official Cosentino, Melissa Anne MSW, CDP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2021
Last updated Jul 21st, 2022 - about 2 years 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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