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Sovereign Healthcare
Nursing Facility/Intermediate Care Facility in Chicago, Illinois
NPI 1174529614

Sovereign Healthcare is a Nursing Facility/Intermediate Care Facility based in Lincolnwood, IL. Sovereign Healthcare practices in Chicago, IL. The NPI Number for Sovereign Healthcare is 1174529614 and holds a License No. (Illinois).

The current practice location address for Sovereign Healthcare is 6159 N Kenmore Ave, Chicago, IL and can be reached out via phone at 773-761-9050 and via fax at 773-761-9055.

Location: 6159 N Kenmore Ave, Chicago, IL, 60712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174529614
Provider Name
Sovereign Healthcare
Credential
Provider Entity Type
Organization
Address
6159 N Kenmore Ave, Chicago, IL, 60712
Phone Number
773-761-9050
Fax Number
773-761-9055
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6159 N Kenmore Ave
City
Chicago
State
Illinois
Zip
60660-2722
Phone Number
773-761-9050
Fax Number
773-761-9055
person
Provider Business Mailing Address Details
Address
6159 N Kenmore Ave
City
Chicago
State
Illinois
Zip
60660-2722
Phone Number
773-761-9050
Fax Number
773-761-9055
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
(Illinois)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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