Maple Crossing At Amboy Llc

LBN: Maple Crossing At Amboy Llc
Maple Crossing At Amboy Llc is an health care organization with primary practice located at 15 W Wasson Rd , Amboy IL 61310-1141. 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. Maple Crossing At Amboy Llc can be contacted via phone (815) 857-2550, or through Herman, Moshe via phone (847) 982-2300.

Contact Information

Primary practice address
15 W Wasson Rd Amboy IL 61310-1141
Phone: (815) 857-2550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Herman, Moshe
Phone: (847) 982-2300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0054627 Illinois

Profile Details

NPI number 1093236747
LBN Legal business name Maple Crossing At Amboy Llc
DBA Doing business as
Authorized official Herman, Moshe
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2017
Last updated Jul 3rd, 2017 - about 8 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 1093236747 NPPES
Illinois Other 0054627 IL DEPT OF PUBLIC HEALTH

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