PRESBYTERIAN HOMES
Assisted Living Facility
Lake Forest, Illinois
Provider NPI: 1063472520
Organization Information:Organization Name: PRESBYTERIAN HOMES
Practice Location:
1100 PEMBRIDGE DRIVE LAKE FOREST, IL 60045 US
Tel: 847-604-6700 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:
1100 PEMBRIDGE DRIVE LAKE FOREST, IL 60045 US
Tel: 847-604-6700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ||
Y | 261QM1300X | Ambulatory Health Care Facilities Clinic/Center |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS BLUE SHIELD ILLINOIS | 04932281 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin