Smith Village

LBN: Washington And Jane Smith Community Beverly
Smith Village is an health care organization with primary practice located at 11308 S Oakley Ave , Chicago IL 60643-4112. 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. Washington And Jane Smith Community Beverly can be contacted via phone (773) 474-7300, or through Marneris, Raymond via phone (773) 474-7350.

Contact Information

Primary practice address
11308 S Oakley Ave Chicago IL 60643-4112
Phone: (773) 474-7300
Fax: (773) 474-7342
Website:
Map and Directions
Authorized official contact:
Name: Marneris, Raymond
Phone: (773) 474-7350

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0015032 Illinois

Profile Details

NPI number 1609843754
LBN Legal business name Washington And Jane Smith Community Beverly
DBA Doing business as Smith Village
Authorized official Marneris, Raymond
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 2nd, 2013 - about 11 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 1609843754 NPPES
Illinois MEDICAID 000015032

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