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:
Map and Directions
Authorized official contact:
Name: Weinfeld, Avrum
Phone: (847) 674-5795

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568413821 NPPES
Illinois MEDICAID 0054304

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