Lake Forest Place

LBN: Presbyterian Homes
Lake Forest Place is an health care organization with primary practice located at 1100 Pembridge Dr , Lake Forest IL 60045. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Presbyterian Homes can be contacted via phone (847) 604-6700, or through Landsman, Robert E via phone (847) 492-4859.

Contact Information

Primary practice address
1100 Pembridge Dr Lake Forest IL 60045
Phone: (847) 604-6700
Fax: (847) 604-6604
Website:
Map and Directions
Authorized official contact:
Name: Landsman, Robert E
Phone: (847) 492-4859

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 0044065 Illinois
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 0044065 Illinois
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0044065 Illinois

Profile Details

NPI number 1831169945
LBN Legal business name Presbyterian Homes
DBA Doing business as Lake Forest Place
Authorized official Landsman, Robert E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2006
Last updated Aug 12th, 2008 - about 16 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 1831169945 NPPES
Other 2100 BCBS
Other 4932281 BCBS

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