Bourbonnais Terrace N.H

LBN: Bt Bourbonnais Care, Llc
Bourbonnais Terrace N.H 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 / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Bt Bourbonnais Care, Llc can be contacted via phone (815) 937-4790, or through Nickle, Jamie via phone (630) 501-0996.

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: Nickle, Jamie
Phone: (630) 501-0996

Health care specialties

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

Profile Details

NPI number 1518238500
LBN Legal business name Bt Bourbonnais Care, Llc
DBA Doing business as Bourbonnais Terrace N.H
Authorized official Nickle, Jamie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 23rd, 2012
Last updated Jan 31st, 2017 - about 7 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 1518238500 NPPES
Illinois MEDICAID 0051631

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