Lake Forest Place, Llc

LBN: Lake Forest Place, Llc
Lake Forest Place, Llc is an health care organization with primary practice located at 1100 Pembridge Dr , Lake Forest IL 60045-4228. 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. Lake Forest Place, Llc can be contacted via phone (847) 604-6700, or through Havrilka, Mark via phone (847) 979-3904.

Contact Information

Primary practice address
1100 Pembridge Dr Lake Forest IL 60045-4228
Phone: (847) 604-6700
Fax: (847) 979-3969
Website:
Map and Directions
Authorized official contact:
Name: Havrilka, Mark
Phone: (847) 979-3904

Health care specialties

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

Profile Details

NPI number 1336504117
LBN Legal business name Lake Forest Place, Llc
DBA Doing business as
Authorized official Havrilka, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2015
Last updated Oct 8th, 2021 - about 3 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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