Victory Centre Of Park Forest Llc

LBN: Victory Centre Of Park Forest Llc
Victory Centre Of Park Forest Llc is an health care organization with primary practice located at 101 Main Street , Park Forest IL 60466-2375. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Victory Centre Of Park Forest Llc can be contacted via phone (708) 283-2921, or through Finis, Jerome E via phone (312) 837-0704.

Contact Information

Primary practice address
101 Main Street Park Forest IL 60466-2375
Phone: (708) 283-2921
Fax: (708) 283-8364
Website:
Map and Directions
Authorized official contact:
Name: Finis, Jerome E
Phone: (312) 837-0704

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X Illinois

Profile Details

NPI number 1487841649
LBN Legal business name Victory Centre Of Park Forest Llc
DBA Doing business as
Authorized official Finis, Jerome E
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 1st, 2007
Last updated Jul 7th, 2016 - 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 1487841649 NPPES
Illinois MEDICAID 364270870001

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