Columbus Manor Residential Care Home

LBN: Ysl Care, Inc
Columbus Manor Residential Care Home is an health care organization with primary practice located at 5107-21 West Jackson Blvd , Chicago IL 60644. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness is the primary health care specialty. Ysl Care, Inc can be contacted via phone (773) 378-5490, or through Lokhandwala, Afzal via phone (630) 664-6048.

Contact Information

Primary practice address
5107-21 West Jackson Blvd Chicago IL 60644
Phone: (773) 378-5490
Fax: (773) 378-7860
Website:
Map and Directions
Authorized official contact:
Name: Lokhandwala, Afzal
Phone: (630) 664-6048

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 0007781 Illinois

Profile Details

NPI number 1639348691
LBN Legal business name Ysl Care, Inc
DBA Doing business as Columbus Manor Residential Care Home
Authorized official Lokhandwala, Afzal
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2008
Last updated Oct 6th, 2016 - about 8 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 1639348691 NPPES
Illinois MEDICAID 362673116001

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