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Evenglow Lodge
Skilled Nursing Facility in Pontiac, Illinois
NPI 1558314302

Evenglow Lodge is a Skilled Nursing Facility based in Pontiac, IL. Evenglow Lodge practices in Pontiac, IL. The NPI Number for Evenglow Lodge is 1558314302 and holds a License No. 0008425 (Illinois).

The current practice location address for Evenglow Lodge is 215 E Washington St, Pontiac, IL and can be reached out via phone at 815-844-6131 and via fax at 815-842-3558.

Location: 215 E Washington St, Pontiac, IL, 61764-2011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558314302
Provider Name
Evenglow Lodge
Credential
Provider Entity Type
Organization
Address
215 E Washington St, Pontiac, IL, 61764-2011
Phone Number
815-844-6131
Fax Number
815-842-3558
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
146095 05 IL
institution
Provider Business Practice Location Address Details
Address
215 E Washington St
City
Pontiac
State
Illinois
Zip
61764-2011
Phone Number
815-844-6131
Fax Number
815-842-3558
person
Provider Business Mailing Address Details
Address
215 E Washington St
City
Pontiac
State
Illinois
Zip
61764-2011
Phone Number
815-844-6131
Fax Number
815-842-3558
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0008425 (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.
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