Imperial Of Hazel Crest

LBN: Imperial Of Hazel Crest
Imperial Of Hazel Crest is an health care organization with primary practice located at 3300 175Th St , Hazel Crest IL 60429-1604. 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. Imperial Of Hazel Crest can be contacted via phone (708) 335-2400, or through Carter, Marcita via phone (708) 335-2400.

Contact Information

Primary practice address
3300 175Th St Hazel Crest IL 60429-1604
Phone: (708) 335-2400
Fax: (708) 335-1825
Website:
Map and Directions
Authorized official contact:
Name: Carter, Marcita
Phone: (708) 335-2400

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0040402 Illinois

Profile Details

NPI number 1376744250
LBN Legal business name Imperial Of Hazel Crest
DBA Doing business as
Authorized official Carter, Marcita
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1376744250 NPPES
Illinois MEDICAID 0040402

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