Providence Operations, LLC

Skilled Nursing Facility · Downers Grove, IL

Organization Active NPI

NPI number 1184626434

Practice location

3450 Saratoga Ave
Downers Grove, IL 60515-1141
Phone
(630) 969-2900
Fax
(630) 969-2900

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NPI record

NPI
1184626434
Entity type
Organization (Type 2)
Enumeration date
June 1, 2005
Last updated
August 13, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 0028605 IL

Mailing address

18601 North Creek Drive
Tinley Park, IL 60477
Phone
(708) 342-8100
Fax
(708) 342-8006

Authorized official

Name
Mrs. Johanna R Zandstra
Title
Compliance Officer
Phone
(708) 342-8137

Other names

  • Providence Downers Grove

About Providence Operations, LLC

Providence Operations, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 3450 Saratoga Ave, Downers Grove, IL 60515-1141. The NPI number 1184626434 was assigned on June 1, 2005 and the record was last updated on August 13, 2015.

Providence Operations, LLC lists a license in the registry: #0028605 (IL) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Johanna R Zandstra, Compliance Officer.

Frequently asked questions

What is the NPI number of Providence Operations, LLC?

The NPI number is 1184626434.

What is the phone number of Providence Operations, LLC?

The phone number listed for the practice location is (630) 969-2900.

Where is Providence Operations, LLC located?

3450 Saratoga Ave, Downers Grove, IL 60515-1141.

What is the taxonomy code for Providence Operations, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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