Bronzeville Park Skilled Nursing & Living Center

LBN: Chevy Chase Corp
Bronzeville Park Skilled Nursing & Living Center is an health care organization with primary practice located at 3400 S Indiana Ave , Chicago IL 60616-3841. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Chevy Chase Corp can be contacted via phone (312) 842-5000, or through Levitin, Reuven via phone (847) 745-6240.

Contact Information

Primary practice address
3400 S Indiana Ave Chicago IL 60616-3841
Fax: (312) 842-3790
Website:
Authorized official contact:
Name: Levitin, Reuven

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Illinois
Suppliers / Nursing Facility Supplies 332BN1400X 5003300001 Illinois
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 5003300001 Illinois

Profile Details

NPI number 1770654907
LBN Legal business name Chevy Chase Corp
DBA Doing business as Bronzeville Park Skilled Nursing & Living Center
Authorized official Levitin, Reuven
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2006
Last updated Sep 14th, 2009 - about 16 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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