WESTMINSTER PLACE
Assisted Living Facility
Evanston, Illinois
Provider NPI: 1750351425
Organization Information:Organization Name: WESTMINSTER PLACE
Practice Location:
3200 GRANT ST EVANSTON, IL 60201 US
Tel: 847-492-4871 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:
3200 GRANT ST EVANSTON, IL 60201 US
Tel: 847-492-4871 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 261QM2500X | Ambulatory Health Care Facilities Clinic/Center Medical Specialty | ||
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | IL | 0012930 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IL | 0012930 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 2100 1633224 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin