Covenant Enabling Residences Of Illinois

LBN: Covenant Enabling Residences Of Illinois
Covenant Enabling Residences Of Illinois is an health care organization with primary practice located at 15841 Terrace Dr , Oak Forest IL 60452-2911. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Covenant Enabling Residences Of Illinois can be contacted via phone (708) 687-2038, or through Smith, Julie A. via phone (708) 687-2038.

Contact Information

Primary practice address
15841 Terrace Dr Oak Forest IL 60452-2911
Phone: (708) 687-2038
Fax: (708) 687-2762
Website:
Map and Directions
Authorized official contact:
Name: Smith, Julie A.
Phone: (708) 687-2038

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 0039149 Illinois

Profile Details

NPI number 1659559292
LBN Legal business name Covenant Enabling Residences Of Illinois
DBA Doing business as
Authorized official Smith, Julie A.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2008
Last updated Feb 6th, 2008 - 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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