Grand Prairie Services

LBN: Grand Prairie Services
Grand Prairie Services is an health care organization with primary practice located at 561 Saratoga Dr , Calumet City IL 60409-4728. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Grand Prairie Services can be contacted via phone (708) 503-1636, or through Ward, Sharronne via phone (708) 444-1012.

Contact Information

Primary practice address
561 Saratoga Dr Calumet City IL 60409-4728
Phone: (708) 503-1636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ward, Sharronne
Phone: (708) 444-1012

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1770647059
LBN Legal business name Grand Prairie Services
DBA Doing business as
Authorized official Ward, Sharronne
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Nov 27th, 2023 - about last year

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 1770647059 NPPES
Illinois MEDICAID =========

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