EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO, INC.
Assisted Living Facility
Schaumburg, Illinois
Provider NPI: 1003924721
Organization Information:Organization Name: EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO, INC.
Practice Location:
350 W SCHAUMBURG RD SCHAUMBURG, IL 60194 US
Tel: 847-884-5000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
350 W SCHAUMBURG RD SCHAUMBURG, IL 60194 US
Tel: 847-884-5000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | IL | 000023218 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IL | 0023218 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000023218 | IL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin