Park Lawn Home

LBN: Park Lawn Home
Park Lawn Home is an health care organization with primary practice located at 10833 Laporte Ave , Oak Lawn IL 60453-5412. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Park Lawn Home can be contacted via phone (708) 425-3344, or through Weise, James R. via phone (708) 425-3344.

Contact Information

Primary practice address
10833 Laporte Ave Oak Lawn IL 60453-5412
Phone: (708) 425-3344
Fax: (708) 425-3530
Website:
Map and Directions
Authorized official contact:
Name: Weise, James R.
Phone: (708) 425-3344

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 0035527 Illinois

Profile Details

NPI number 1285943134
LBN Legal business name Park Lawn Home
DBA Doing business as
Authorized official Weise, James R.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 27th, 2010
Last updated Sep 27th, 2010 - about 14 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 1285943134 NPPES
Illinois MEDICAID 0035527

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