Pearl Pavilion Llc

LBN: Pearl Pavilion Llc
Pearl Pavilion Llc is an health care organization with primary practice located at 910 Kiwanis Drive , Freeport IL 61032. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pearl Pavilion Llc can be contacted via phone (815) 235-6196, or through Webster, Shimon via phone (773) 945-1000.

Contact Information

Primary practice address
910 Kiwanis Drive Freeport IL 61032
Phone: (815) 235-6196
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Webster, Shimon
Phone: (773) 945-1000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1861871246
LBN Legal business name Pearl Pavilion Llc
DBA Doing business as
Authorized official Webster, Shimon
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2015
Last updated May 18th, 2016 - about 9 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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