Avantara Long Grove

LBN: Long Grove Pac Llc
Avantara Long Grove is an health care organization with primary practice located at 1666 Rfd , Long Grove IL 60047-7368. 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. Long Grove Pac Llc can be contacted via phone (847) 419-1111, or through Zuckerman, Yair via phone (847) 679-9797.

Contact Information

Primary practice address
1666 Rfd Long Grove IL 60047-7368
Phone: (847) 419-1111
Fax: (847) 419-1119
Website:
Map and Directions
Authorized official contact:
Name: Zuckerman, Yair
Phone: (847) 679-9797

Health care specialties

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

Profile Details

NPI number 1598188237
LBN Legal business name Long Grove Pac Llc
DBA Doing business as Avantara Long Grove
Authorized official Zuckerman, Yair
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2014
Last updated Jun 30th, 2015 - about 9 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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