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Crestwood Terrace Operator Llc
Nursing Facility/Intermediate Care Facility in Crestwood, Illinois
NPI 1811084213

Crestwood Terrace Operator Llc is a Nursing Facility/Intermediate Care Facility based in Lincolnwood, IL. Crestwood Terrace Operator Llc practices in Crestwood, IL. The NPI Number for Crestwood Terrace Operator Llc is 1811084213 and holds a License No. 0022863 (Illinois).

The current practice location address for Crestwood Terrace Operator Llc is 13301 Central Ave, Crestwood, IL and can be reached out via phone at 708-597-5251 and via fax at 708-597-4998.

Location: 13301 Central Ave, Crestwood, IL, 60712-4611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811084213
Provider Name
Crestwood Terrace Operator Llc
Credential
Provider Entity Type
Organization
Address
13301 Central Ave, Crestwood, IL, 60712-4611
Phone Number
708-597-5251
Fax Number
708-597-4998
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
362883290001 05 IL
institution
Provider Business Practice Location Address Details
Address
13301 Central Ave
City
Crestwood
State
Illinois
Zip
60445-1370
Phone Number
708-597-5251
Fax Number
708-597-4998
person
Provider Business Mailing Address Details
Address
13301 Central Ave
City
Crestwood
State
Illinois
Zip
60445-1370
Phone Number
708-597-5251
Fax Number
708-597-4998
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0022863 (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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