Mado Healthcare - Buena Park
LBN: Nine Forty Cullom Corporation
Mado Healthcare - Buena Park is an health care organization with primary practice located at 940 W Cullom Ave , Chicago IL 60613. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty.
Nine Forty Cullom Corporation can be contacted via phone (773) 525-9000, or through Obrien, Peter J via phone (312) 787-9400.
Contact Information
Primary practice address
940 W Cullom Ave
Chicago IL 60613
Phone: (773) 525-9000
Fax: (773) 525-8016
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness | 310500000X | 0017178 | Illinois |
Profile Details
NPI number | 1912998188 |
---|---|
LBN Legal business name | Nine Forty Cullom Corporation |
DBA Doing business as | Mado Healthcare - Buena Park |
Authorized official | Obrien, Peter J |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 4th, 2005 |
Last updated | Apr 15th, 2019 - about 5 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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