Kankakee Terrace Operator LLC

Nursing Facility/Intermediate Care Facility · Bourbonnais, IL

Organization Active NPI

NPI number 1326128554

Practice location

100 Belle Aire Ave
Bourbonnais, IL 60914-2006
Phone
(815) 939-0910
Fax
(815) 939-0973

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NPI record

NPI
1326128554
Entity type
Organization (Type 2)
Enumeration date
October 16, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nursing Facility/Intermediate Care Facility Primary 313M00000X 0022897 IL

Mailing address

6865 N Lincoln Ave
Lincolnwood, IL 60712-4611
Phone
(847) 674-5795
Fax
(847) 674-5794

Authorized official

Name
Mr. Avrum Weinfeld
Title
CFO
Phone
(847) 674-5795

Other names

  • kankakee terrace

About Kankakee Terrace Operator LLC

Kankakee Terrace Operator LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Nursing Facility/Intermediate Care Facility (code 313M00000X). The practice location is 100 Belle Aire Ave, Bourbonnais, IL 60914-2006. The NPI number 1326128554 was assigned on October 16, 2006 and the record was last updated on August 22, 2020.

Kankakee Terrace Operator LLC lists a license in the registry: #0022897 (IL) for Nursing Facility/Intermediate Care Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Avrum Weinfeld, CFO.

Frequently asked questions

What is the NPI number of Kankakee Terrace Operator LLC?

The NPI number is 1326128554.

What is the phone number of Kankakee Terrace Operator LLC?

The phone number listed for the practice location is (815) 939-0910.

Where is Kankakee Terrace Operator LLC located?

100 Belle Aire Ave, Bourbonnais, IL 60914-2006.

What is the taxonomy code for Kankakee Terrace Operator LLC?

The primary taxonomy code is 313M00000X – Nursing Facility/Intermediate Care 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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