Pine Terrace

LBN: Frances House Inc
Pine Terrace is an health care organization with primary practice located at 2017 N Pine St , Waukegan IL 60087-4829. 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. Frances House Inc can be contacted via phone (309) 343-1550, or through Wilson, Ronald J via phone (309) 343-1550.

Contact Information

Primary practice address
2017 N Pine St Waukegan IL 60087-4829
Phone: (309) 343-1550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Ronald J
Phone: (309) 343-1550

Health care specialties

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

Profile Details

NPI number 1861818031
LBN Legal business name Frances House Inc
DBA Doing business as Pine Terrace
Authorized official Wilson, Ronald J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2014
Last updated Mar 12th, 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 1861818031 NPPES
Illinois MEDICAID 364143612002

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