Libertyville Manor Extended Care Facility, Inc.

LBN: Libertyville Manor Extended Care Facility, Inc.
Libertyville Manor Extended Care Facility, Inc. is an health care organization with primary practice located at 610 Peterson Rd (Highway #137), 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 Extended Care Facility, Inc. can be contacted via phone (847) 367-6100, or through Gamble, Gina via phone (847) 367-6100.

Contact Information

Primary practice address
610 Peterson Rd (Highway #137) Libertyville IL 60048-1014
Phone: (847) 367-6100
Fax: (847) 680-2030
Website:
Map and Directions
Authorized official contact:
Name: Gamble, Gina
Phone: (847) 367-6100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0017780 Illinois

Profile Details

NPI number 1952390585
LBN Legal business name Libertyville Manor Extended Care Facility, Inc.
DBA Doing business as
Authorized official Gamble, Gina
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2005
Last updated May 7th, 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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