Kankakee Terrace

LBN: Kankakee Terrace Operator Llc
Kankakee Terrace is an health care organization with primary practice located at 100 Belle Aire Ave , Bourbonnais IL 60914-2006. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Kankakee Terrace Operator Llc can be contacted via phone (815) 939-0910, or through Weinfeld, Avrum via phone (847) 674-5795.

Contact Information

Primary practice address
100 Belle Aire Ave Bourbonnais IL 60914-2006
Phone: (815) 939-0910
Fax: (815) 939-0973
Website:
Map and Directions
Authorized official contact:
Name: Weinfeld, Avrum
Phone: (847) 674-5795

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0022897 Illinois

Profile Details

NPI number 1326128554
LBN Legal business name Kankakee Terrace Operator Llc
DBA Doing business as Kankakee Terrace
Authorized official Weinfeld, Avrum
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326128554 NPPES
Illinois MEDICAID 362883311001

Popular Providers