Park Lawn School & Activity Center, Inc.

LBN: Park Lawn School & Activity Center, Inc.
Park Lawn School & Activity Center, Inc. is an health care organization with primary practice located at 10833 Laporte Ave , Oak Lawn IL 60453-5412. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Park Lawn School & Activity Center, Inc. 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
Agencies / Day Training, Developmentally Disabled Services 251C00000X NONE Illinois
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 0027078 Illinois
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 0035527 Illinois
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 92C173 Illinois

Profile Details

NPI number 1609094788
LBN Legal business name Park Lawn School & Activity Center, Inc.
DBA Doing business as
Authorized official Weise, James R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1609094788 NPPES
Illinois MEDICAID 0027078
Illinois MEDICAID 0035527
Illinois Other 92C172

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