Meadows Mennonite Home

LBN: Meadows Mennonite Retirement Community Association, Inc.
Meadows Mennonite Home is an health care organization with primary practice located at 24588 Church St , Chenoa IL 61726-9395. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Meadows Mennonite Retirement Community Association, Inc. can be contacted via phone (309) 747-2702, or through Bertsche, Robert O. via phone (309) 747-2702.

Contact Information

Primary practice address
24588 Church St Chenoa IL 61726-9395
Phone: (309) 747-2702
Fax: (309) 747-2944
Website:
Map and Directions
Authorized official contact:
Name: Bertsche, Robert O.
Phone: (309) 747-2702

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 0011544 Illinois
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 0011544 Illinois
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0011544 Illinois
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0011544 Illinois

Profile Details

NPI number 1831194752
LBN Legal business name Meadows Mennonite Retirement Community Association, Inc.
DBA Doing business as Meadows Mennonite Home
Authorized official Bertsche, Robert O.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Aug 19th, 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 1831194752 NPPES
Illinois MEDICAID 11544
Illinois MEDICAID 6006001

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