Countryside Care Centre Lp

LBN: Countryside Care Centre Lp
Countryside Care Centre Lp is an health care organization with primary practice located at 2330 W Galena Blvd , Aurora IL 60506-4246. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Countryside Care Centre Lp can be contacted via phone (630) 896-4686, or through Braun, Michael Charles via phone (847) 583-0100.

Contact Information

Primary practice address
2330 W Galena Blvd Aurora IL 60506-4246
Phone: (630) 896-4686
Fax: (630) 896-7868
Website:
Map and Directions
Authorized official contact:
Name: Braun, Michael Charles
Phone: (847) 583-0100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 40931 Illinois

Profile Details

NPI number 1063498285
LBN Legal business name Countryside Care Centre Lp
DBA Doing business as
Authorized official Braun, Michael Charles
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2005
Last updated Feb 20th, 2012 - about 12 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 1063498285 NPPES
Illinois Other 40931 IDPH LICENSE NUMBER
Illinois Other 6002174 IDPH LICENSE NUMBER

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