Bourbonnais Terrace

LBN: Bourbonnais Terrace Operator Llc
Bourbonnais Terrace is an health care organization with primary practice located at 133 Mohawk Dr , Bourbonnais IL 60914-1349. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Bourbonnais Terrace Operator Llc can be contacted via phone (815) 937-4790, or through Weinfeld, Avrum via phone (847) 674-5795.

Contact Information

Primary practice address
133 Mohawk Dr Bourbonnais IL 60914-1349
Phone: (815) 937-4790
Fax: (815) 937-0432
Website:
Map and Directions
Authorized official contact:
Name: Weinfeld, Avrum
Phone: (847) 674-5795

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0021550 Illinois

Profile Details

NPI number 1760579163
LBN Legal business name Bourbonnais Terrace Operator Llc
DBA Doing business as Bourbonnais Terrace
Authorized official Weinfeld, Avrum
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760579163 NPPES
Illinois MEDICAID 0021550

Popular Providers