Crystal Pines Rehabilitation & Health Care Center
LBN: Crystal Pines Rehabilitation And Health Care Center, Llc
Crystal Pines Rehabilitation & Health Care Center is an health care organization with primary practice located at 335 Illinois St , Crystal Lake IL 60014-3618. 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.
Crystal Pines Rehabilitation And Health Care Center, Llc can be contacted via phone (815) 459-7791, or through Tutera, Joseph C via phone (816) 444-0900.
Contact Information
Primary practice address
335 Illinois St
Crystal Lake IL 60014-3618
Phone: (815) 459-7791
Fax: (815) 459-7680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0045062 | Illinois |
Profile Details
| NPI number | 1952301822 |
|---|---|
| LBN Legal business name | Crystal Pines Rehabilitation And Health Care Center, Llc |
| DBA Doing business as | Crystal Pines Rehabilitation & Health Care Center |
| Authorized official | Tutera, Joseph C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Apr 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952301822 | NPPES |
| Illinois | MEDICAID | 431821821001 |
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