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Bravo Care Of Peoria Inc
Parenteral & Enteral Nutrition Supplies (DME) in Peoria, Illinois
NPI 1194912857

Bravo Care Of Peoria Inc is a Parenteral & Enteral Nutrition Supplies (DME) based in Saint Louis, IL and is specialized in Parenteral & Enteral Nutrition. Bravo Care Of Peoria Inc practices in Peoria, IL. The NPI Number for Bravo Care Of Peoria Inc is 1194912857 and holds a License No. 1854122 (Illinois).

The current practice location address for Bravo Care Of Peoria Inc is 1500 W Northmoor Rd, Peoria, IL and can be reached out via phone at 309-691-2200.

Location: 1500 W Northmoor Rd, Peoria, IL, 63146-4194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194912857
Provider Name
Bravo Care Of Peoria Inc
Credential
Provider Entity Type
Organization
Address
1500 W Northmoor Rd, Peoria, IL, 63146-4194
Phone Number
309-691-2200
Fax Number
Provider Enumeration Date
09/26/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1500 W Northmoor Rd
City
Peoria
State
Illinois
Zip
61614-3435
Phone Number
309-691-2200
Fax Number
person
Provider Business Mailing Address Details
Address
1500 W Northmoor Rd
City
Peoria
State
Illinois
Zip
61614-3435
Phone Number
309-691-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
(Illinois)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
1854122 (Illinois)
Definition
Definition to come...
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