Pioneer Gardens Supportive Living

LBN: Pioneer Gardens Senior Housing Lp
Pioneer Gardens Supportive Living is an health care organization with primary practice located at 3800 S King Dr , Chicago IL 60653-1785. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Long Term Care Hospital, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Pioneer Gardens Senior Housing Lp can be contacted via phone (773) 420-4100, or through Shell, Anthony via phone (773) 420-4101.

Contact Information

Primary practice address
3800 S King Dr Chicago IL 60653-1785
Phone: (773) 420-4100
Fax: (773) 536-0720
Website:
Map and Directions
Authorized official contact:
Name: Shell, Anthony
Phone: (773) 420-4101

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Long Term Care Hospital 282E00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X Illinois

Profile Details

NPI number 1861664013
LBN Legal business name Pioneer Gardens Senior Housing Lp
DBA Doing business as Pioneer Gardens Supportive Living
Authorized official Shell, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2008
Last updated Apr 30th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861664013 NPPES
Illinois MEDICAID 32001233001

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