Lake Park Center,Llc
LBN: Waukegan Terrace
Lake Park Center,Llc is an health care organization with primary practice located at 919 Washington Park , Waukegan IL 60085-7258. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness is the primary health care specialty.
Waukegan Terrace can be contacted via phone (847) 623-9100, or through Weinfeld, Avrum via phone (847) 674-5795.
Contact Information
Primary practice address
919 Washington Park
Waukegan IL 60085-7258
Phone: (847) 623-9100
Fax: (847) 623-9179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness | 310500000X | ||
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 0027052 | Illinois |
Profile Details
| NPI number | 1568413821 |
|---|---|
| LBN Legal business name | Waukegan Terrace |
| DBA Doing business as | Lake Park Center,Llc |
| Authorized official | Weinfeld, Avrum |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Oct 30th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568413821 | NPPES |
| Illinois | MEDICAID | 0054304 |
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