Marianjoy At Providence Palos Heights

LBN: Marianjoy At Providence Palos Heights
Marianjoy At Providence Palos Heights is an health care organization with primary practice located at 13259 S Central Ave , Palos Heights IL 60463-2601. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Rehabilitation Hospital, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Marianjoy At Providence Palos Heights can be contacted via phone (630) 909-7378, or through Barnes, Jacque' via phone (603) 909-7378.

Contact Information

Primary practice address
13259 S Central Ave Palos Heights IL 60463-2601
Phone: (630) 909-7378
Fax: (630) 909-7371
Website:
Map and Directions
Authorized official contact:
Name: Barnes, Jacque'
Phone: (603) 909-7378

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rehabilitation Hospital 283X00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1649404245
LBN Legal business name Marianjoy At Providence Palos Heights
DBA Doing business as
Authorized official Barnes, Jacque'
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2009
Last updated Feb 11th, 2013 - about 11 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 1649404245 NPPES
Illinois Other 50426 BLUE CROSS BLUE SHIELD ILLINOIS

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