Love'S Park

LBN: Bridgeway Inc.
Love'S Park is an health care organization with primary practice located at 7200 Clinton Rd , Loves Park IL 61111-3806. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Bridgeway Inc. can be contacted via phone (815) 962-8333, or through Nelson, William via phone (309) 344-2323.

Contact Information

Primary practice address
7200 Clinton Rd Loves Park IL 61111-3806
Phone: (815) 962-8333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, William
Phone: (309) 344-2323

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Illinois

Profile Details

NPI number 1235626326
LBN Legal business name Bridgeway Inc.
DBA Doing business as Love'S Park
Authorized official Nelson, William
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 16th, 2018
Last updated Apr 16th, 2018 - about 6 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 1235626326 NPPES
Illinois Other 655360 UPIN

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