Promedica Skilled Nursing And Rehabilitation (Libertyville)

LBN: Manor Care Of Libertyville Il, Llc
Promedica Skilled Nursing And Rehabilitation (Libertyville) is an health care organization with primary practice located at 1500 S Milwaukee Ave , Libertyville IL 60048-3723. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Manor Care Of Libertyville Il, Llc can be contacted via phone (847) 816-3200, or through Allen, Martin D via phone (419) 252-5734.

Contact Information

Primary practice address
1500 S Milwaukee Ave Libertyville IL 60048-3723
Phone: (847) 816-3200
Fax: (847) 816-8981
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5734

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0032904 Illinois

Profile Details

NPI number 1760429203
LBN Legal business name Manor Care Of Libertyville Il, Llc
DBA Doing business as Promedica Skilled Nursing And Rehabilitation (Libertyville)
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 28th, 2023 - about 2 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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