Country Club Terrace

LBN: St. Coletta'S Of Illinois, Inc.
Country Club Terrace is an health care organization with primary practice located at 4900 183Rd St , Country Club Hills IL 60478-4568. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. St. Coletta'S Of Illinois, Inc. can be contacted via phone (708) 647-0752, or through Skafgaard, Annette via phone (708) 342-5253.

Contact Information

Primary practice address
4900 183Rd St Country Club Hills IL 60478-4568
Phone: (708) 647-0752
Fax: (708) 342-2579
Website:
Map and Directions
Authorized official contact:
Name: Skafgaard, Annette CPA
Phone: (708) 342-5253

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1154509289
LBN Legal business name St. Coletta'S Of Illinois, Inc.
DBA Doing business as Country Club Terrace
Authorized official Skafgaard, Annette CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Mar 31st, 2022 - about 2 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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