Abbott House, Llc

LBN: Abbott House, Llc
Abbott House, Llc is an health care organization with primary practice located at 405 Central Ave , Highland Park IL 60035-2622. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Abbott House, Llc can be contacted via phone (847) 432-6080, or through Fishman, Ivy K via phone (847) 432-6080.

Contact Information

Primary practice address
405 Central Ave Highland Park IL 60035-2622
Phone: (847) 432-6080
Fax: (847) 432-7286
Website:
Map and Directions
Authorized official contact:
Name: Fishman, Ivy K MHA
Phone: (847) 432-6080

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 0023739 Illinois

Profile Details

NPI number 1194859892
LBN Legal business name Abbott House, Llc
DBA Doing business as
Authorized official Fishman, Ivy K MHA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194859892 NPPES
Illinois Other 0023739 PUBLIC HEALTH LICENSE NUM

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