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Waukegan Terrace
Nursing Facility/Intermediate Care Facility in Waukegan, Illinois
NPI 1568413821

Waukegan Terrace is a Nursing Facility/Intermediate Care Facility based in Skokie, IL. Waukegan Terrace practices in Waukegan, IL. The NPI Number for Waukegan Terrace is 1568413821 and holds a License No. (Illinois).

The current practice location address for Waukegan Terrace is 919 Washington Park, Waukegan, IL and can be reached out via phone at 847-623-9100 and via fax at 847-623-9179.

Location: 919 Washington Park, Waukegan, IL, 60077-1123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568413821
Provider Name
Waukegan Terrace
Credential
Provider Entity Type
Organization
Address
919 Washington Park, Waukegan, IL, 60077-1123
Phone Number
847-623-9100
Fax Number
847-623-9179
Provider Enumeration Date
05/12/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363109618 05 IL
0054304 05 IL
institution
Provider Business Practice Location Address Details
Address
919 Washington Park
City
Waukegan
State
Illinois
Zip
60085-7258
Phone Number
847-623-9100
Fax Number
847-623-9179
person
Provider Business Mailing Address Details
Address
919 Washington Park
City
Waukegan
State
Illinois
Zip
60085-7258
Phone Number
847-623-9100
Fax Number
847-623-9179
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
0027052 (Illinois)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
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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