Willowcreek Rehab And Nursing Center

LBN: Willowcreek Rehab And Nursing Center
Willowcreek Rehab And Nursing Center is an health care organization with primary practice located at 40 N 64Th St , Belleville IL 62223-3808. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Willowcreek Rehab And Nursing Center can be contacted via phone (618) 397-8400, or through Miller, Stephen P via phone (312) 994-2306.

Contact Information

Primary practice address
40 N 64Th St Belleville IL 62223-3808
Phone: (618) 397-8400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Stephen P
Phone: (312) 994-2306

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0041939 Illinois
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0041939 Illinois

Profile Details

NPI number 1356348221
LBN Legal business name Willowcreek Rehab And Nursing Center
DBA Doing business as
Authorized official Miller, Stephen P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2005
Last updated Jan 25th, 2008 - about 16 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 1356348221 NPPES
Illinois Other 0041939 FACILITY LICENSE NUMBER

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