Libertyville Manor

LBN: Libertyville Manor
Libertyville Manor is an health care organization with primary practice located at 610 Peterson Rd , Libertyville IL 60048-1014. 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. Libertyville Manor can be contacted via phone (847) 367-6100, or through Stokavich, Milan via phone (847) 367-6100.

Contact Information

Primary practice address
610 Peterson Rd Libertyville IL 60048-1014
Phone: (847) 367-6100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stokavich, Milan
Phone: (847) 367-6100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 160000723 Illinois

Profile Details

NPI number 1841424900
LBN Legal business name Libertyville Manor
DBA Doing business as
Authorized official Stokavich, Milan
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2009
Last updated May 5th, 2009 - about 15 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 1841424900 NPPES
Illinois Other 225200000 TAXONOMY

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