St. Patrick'S Residence

LBN: St Patrick Residence
St. Patrick'S Residence is an health care organization with primary practice located at 1400 Brookdale Rd , Naperville IL 60563-2126. 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. St Patrick Residence can be contacted via phone (630) 416-6565, or through Haley, Sr. Jeanne via phone (630) 416-6565.

Contact Information

Primary practice address
1400 Brookdale Rd Naperville IL 60563-2126
Phone: (630) 416-6565
Fax: (630) 416-8755
Website:
Map and Directions
Authorized official contact:
Name: Haley, Sr. Jeanne
Phone: (630) 416-6565

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0035006 Illinois

Profile Details

NPI number 1811982507
LBN Legal business name St Patrick Residence
DBA Doing business as St. Patrick'S Residence
Authorized official Haley, Sr. Jeanne
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2005
Last updated Dec 13th, 2011 - about 14 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 1811982507 NPPES
Illinois Other 0000001152 BCBSIL PROVIDER NUMBER

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