Providence Palos Heights

LBN: Providence Operations, Llc
Providence Palos Heights is an health care organization with primary practice located at 13259 S Central Ave , Palos Heights IL 60463-2601. 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. Providence Operations, Llc can be contacted via phone (708) 597-1000, or through Zandstra, Johanna R via phone (708) 342-8137.

Contact Information

Primary practice address
13259 S Central Ave Palos Heights IL 60463-2601
Phone: (708) 597-1000
Fax: (708) 597-1000
Website:
Map and Directions
Authorized official contact:
Name: Zandstra, Johanna R
Phone: (708) 342-8137

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0028605 Illinois

Profile Details

NPI number 1174525422
LBN Legal business name Providence Operations, Llc
DBA Doing business as Providence Palos Heights
Authorized official Zandstra, Johanna R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Sep 23rd, 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 1174525422 NPPES
Illinois MEDICAID 362382853002

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