Prairie Creek Village, Llc

LBN: Prairie Creek Village, Llc
Prairie Creek Village, Llc is an health care organization with primary practice located at 2530 N Monroe St , Decatur IL 62526-3249. 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. Prairie Creek Village, Llc can be contacted via phone (217) 875-0920, or through Winter, Thomas via phone (847) 675-7979.

Contact Information

Primary practice address
2530 N Monroe St Decatur IL 62526-3249
Phone: (217) 875-0920
Fax: (217) 876-9351
Website:
Map and Directions
Authorized official contact:
Name: Winter, Thomas CPA
Phone: (847) 675-7979

Health care specialties

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

Profile Details

NPI number 1033626254
LBN Legal business name Prairie Creek Village, Llc
DBA Doing business as
Authorized official Winter, Thomas CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2018
Last updated Sep 15th, 2021 - 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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