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Bourbonnais Terrace Operator Llc
Nursing Facility/Intermediate Care Facility in Bourbonnais, Illinois
NPI 1760579163

Bourbonnais Terrace Operator Llc is a Nursing Facility/Intermediate Care Facility based in Lincolnwood, IL. Bourbonnais Terrace Operator Llc practices in Bourbonnais, IL. The NPI Number for Bourbonnais Terrace Operator Llc is 1760579163 and holds a License No. 0021550 (Illinois).

The current practice location address for Bourbonnais Terrace Operator Llc is 133 Mohawk Dr, Bourbonnais, IL and can be reached out via phone at 815-937-4790 and via fax at 815-937-0432.

Location: 133 Mohawk Dr, Bourbonnais, IL, 60712-4611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760579163
Provider Name
Bourbonnais Terrace Operator Llc
Credential
Provider Entity Type
Organization
Address
133 Mohawk Dr, Bourbonnais, IL, 60712-4611
Phone Number
815-937-4790
Fax Number
815-937-0432
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0021550 05 IL
institution
Provider Business Practice Location Address Details
Address
133 Mohawk Dr
City
Bourbonnais
State
Illinois
Zip
60914-1349
Phone Number
815-937-4790
Fax Number
815-937-0432
person
Provider Business Mailing Address Details
Address
133 Mohawk Dr
City
Bourbonnais
State
Illinois
Zip
60914-1349
Phone Number
815-937-4790
Fax Number
815-937-0432
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0021550 (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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