Grand Victorian Of Rockford, Llc

LBN: Grand Victorian Of Rockford, Llc
Grand Victorian Of Rockford, Llc is an health care organization with primary practice located at 3495 Mcfarland Rd , Rockford IL 61114-5609. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Grand Victorian Of Rockford, Llc can be contacted via phone (815) 654-1400, or through Holtz, John via phone (541) 747-3373.

Contact Information

Primary practice address
3495 Mcfarland Rd Rockford IL 61114-5609
Phone: (815) 654-1400
Fax: (815) 654-1488
Website:
Map and Directions
Authorized official contact:
Name: Holtz, John
Phone: (541) 747-3373

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1891991550
LBN Legal business name Grand Victorian Of Rockford, Llc
DBA Doing business as
Authorized official Holtz, John
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated May 13th, 2008 - about 17 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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