Laynie Foundation

LBN: Laynie Foundation
Laynie Foundation is an health care organization with primary practice located at 4747 Lincoln Mall Dr Suite 604, Matteson IL 60443-3811. 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. Laynie Foundation can be contacted via phone (708) 617-8548, or through Matheson, Summer A via phone (708) 617-8548.

Contact Information

Primary practice address
4747 Lincoln Mall Dr Suite 604 Matteson IL 60443-3811
Phone: (708) 617-8548
Fax: (708) 617-8017
Website:
Map and Directions
Authorized official contact:
Name: Matheson, Summer A PHD
Phone: (708) 617-8548

Health care specialties

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

Profile Details

NPI number 1932442571
LBN Legal business name Laynie Foundation
DBA Doing business as
Authorized official Matheson, Summer A PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2013
Last updated Apr 2nd, 2013 - about 11 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 1932442571 NPPES
Illinois MEDICAID 1790076628

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