House 57

LBN: Elisabeth Ludeman Center
House 57 is an health care organization with primary practice located at 114 N Orchard Dr , Park Forest IL 60466-1200. 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. Elisabeth Ludeman Center can be contacted via phone (708) 283-3000, or through Patwari, Rajani via phone (708) 283-3011.

Contact Information

Primary practice address
114 N Orchard Dr Park Forest IL 60466-1200
Phone: (708) 283-3000
Fax: (708) 283-3020
Website:
Map and Directions
Authorized official contact:
Name: Patwari, Rajani Doctor of Medicine (MD)
Phone: (708) 283-3011

Health care specialties

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

Profile Details

NPI number 1205049350
LBN Legal business name Elisabeth Ludeman Center
DBA Doing business as House 57
Authorized official Patwari, Rajani Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1205049350 NPPES
Illinois MEDICAID 000950457001

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