D/B/A Winchester House

LBN: County Of Lake
D/B/A Winchester House is an health care organization with primary practice located at 1125 N Milwaukee Ave , Libertyville IL 60048-1304. 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. County Of Lake can be contacted via phone (847) 377-7236, or through Meeske, Rick C via phone (847) 377-7236.

Contact Information

Primary practice address
1125 N Milwaukee Ave Libertyville IL 60048-1304
Phone: (847) 377-7236
Fax: (847) 377-7205
Website:
Map and Directions
Authorized official contact:
Name: Meeske, Rick C
Phone: (847) 377-7236

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 000010678 Illinois

Profile Details

NPI number 1316948912
LBN Legal business name County Of Lake
DBA Doing business as D/B/A Winchester House
Authorized official Meeske, Rick C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2005
Last updated Aug 13th, 2014 - about 10 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 1316948912 NPPES
Illinois Other 000010678 IDPH LICENSE NUMBER

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