PIONEER GARDENS SENIOR HOUSING LP
Long Term Care Hospital
Chicago, Illinois
Provider NPI: 1861664013
Organization Information:Organization Name: PIONEER GARDENS SENIOR HOUSING LP
Practice Location:
3800 S KING DR CHICAGO, IL 60653 US
Tel: 773-420-4100 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:
3800 S KING DR CHICAGO, IL 60653 US
Tel: 773-420-4100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 282E00000X | Hospitals Long Term Care Hospital | ||
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | IL |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
32001233001 | IL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin