Skilled Nursing Facility in HUNTLEY, IL
Last Updated on : Oct 26,2011
EAST BANK CENTER LLC is a Skilled Nursing Facility in HUNTLEY, United States .
1124173844 is NPI number of EAST BANK CENTER LLC.
EAST BANK CENTER LLC's primary taxonomy code based on NPI Lookup is 314000000X with license number 0047209. This taxonomy code refers to Skilled Nursing Facility.
EAST BANK CENTER LLC current practice location address is 12040 RAYMOND CT, HUNTLEY, IL. EAST BANK CENTER LLC can be reached out via phone at 847-515-1505 and via fax at 847-515-1503 .
You can also correspond with EAST BANK CENTER LLC through mail at mailing address 6131 PARK RIDGE RD, LOVES PARK, IL, United States. Mailing address contact number is 815-633-6810.
The enumeration date of EAST BANK CENTER LLC is 24-Jan-2007. The provider is registered as an Organization and the NPI record was last updated 12 years ago. The authorized official of EAST BANK CENTER LLC is EDNA LOPEZ (ADMINISTRATOR). EDNA LOPEZ can be reached at 8156336810.Basic NPI information of EAST BANK CENTER LLC (NPI 1124173844) is provided below.
Name | EAST BANK CENTER LLC |
---|---|
National Provider Id (NPI) | 1124173844 |
Entity Type | Organization |
Practice Address | 12040 RAYMOND CT,
HUNTLEY, IL, United States |
Practice Telephone | 847-515-1505 |
Practice Fax Number | 847-515-1503 |
Mailing Address | 6131 PARK RIDGE RD ,
LOVES PARK, IL, United States |
Mailing Telephone | 815-633-6810 |
Mailing Fax Number | 815-633-5095 |
Enumeration Date | 24-Jan-2007 |
Last Updated Date | 26-Oct-2011 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0047209 | IL |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
146069 | MEDICARE ID-Type Unspecified (04) | IL | PROVIDER NUMBER |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1548777303 | COUNSELING ON WHEELS | Clinic/Center, Adult Mental Health | 10655 YELLOWSTONE DR,
HUNTLEY, IL, United States |
03-Jan-2018 |
1700156171 | PAUL MARTIN | Counselor, Mental Health | 1414 MAIN ST,
MELROSE PARK, IL, United States |
03-Jan-2012 |
1336561646 | LINDSAY M LOEHNER | Nurse Practitioner, Family | 260 E CONGRESS PKWY STE A,
CRYSTAL LAKE, IL, United States |
07-Jan-2014 |
1720325061 | JANA DEE HITE | Speech-Language Pathologist, | 11426 LANSDALE ST,
HUNTLEY, IL, United States |
07-Jan-2013 |
1982177473 | CAROLINE EBOT ENOH | Nurse Practitioner | 2616 MC DUFFEE CIR,
NORTH AURORA, IL, United States |
07-Jan-2019 |
1891183109 | JAMIE PATEL | Dietitian, Registered | 10350 HALIGUS RD STE 220,
HUNTLEY, IL, United States |
08-Jan-2015 |
1790961696 | ELPIDO B. MARCELO | Psychologist, Clinical | 11703 BARBERRY COURT,
HUNTLEY, IL, United States |
10-Jan-2008 |
1013481076 | JENNIFER MAGNUSON | Registered Nurse | 10350 HALIGUS RD,
HUNTLEY, IL, United States |
13-Jan-2019 |
1316277569 | LEA FUCYDZY KIOUTAS | General Practice | 13100 VINEYARD DR,
HUNTLEY, IL, United States |
12-Jan-2010 |
1013339852 | HILARY PIRRO | Social Worker, Clinical | 3701 DOTY RD,
WOODSTOCK, IL, United States |
14-Jan-2014 |
1700938644 | A NICHOLAS GIANITSOS | Urology | 1000 MINERAL POINT AVE,
JANESVILLE, WI, United States |
18-Jan-2007 |
1932598422 | MOFFETT PHYSICAL THERAPY, INC. | Clinic/Center, Physical Therapy | 12531 REGENCY PKWY,
HUNTLEY, IL, United States |
21-Jan-2015 |
1124441282 | BRYAN M SHANAHAN | Physical Therapist | 12531 REGENCY PKWY,
HUNTLEY, IL, United States |
27-Jan-2014 |
1932347887 | WOODFIELD ORTHOTICS & PROSTHETICS, LLC | Durable Medical Equipment & Medical Supplies, Customized Equipment | 12380 PRINCETON DR,
HUNTLEY, IL, United States |
30-Jan-2009 |
1548230063 | RAKESH R. PATEL | Family Medicine | 10350 HALIGUS RD,
HUNTLEY, IL, United States |
26-Jan-2006 |
1124173844 | EAST BANK CENTER LLC | Skilled Nursing Facility | 12040 RAYMOND CT,
HUNTLEY, IL, United States |
24-Jan-2007 |
1083891402 | CHRISTINE KELLY STEPHENSON | Developmental Therapist | 10171 BENNINGTON DR,
HUNTLEY, IL, United States |
28-Jan-2008 |
1801219878 | ANNE MARIE ELGAR | Counselor, Mental Health | 3701 DOTY RD,
WOODSTOCK, IL, United States |
28-Jan-2014 |
1821320987 | SCOTT M. CYPHERS | Counselor, Professional | 11611 RONALD ST,
HUNTLEY, IL, United States |
31-Jan-2010 |
1669910709 | BRIAN NICHOLAS STEIF | Specialist/Technologist, Athletic Trainer | 10785 GRAND CANYON AVE.,
HUNTLEY, IL, United States |
09-Feb-2017 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1124173844 is the NPI number of EAST BANK CENTER LLC.
Where is EAST BANK CENTER LLC located?EAST BANK CENTER LLC is located at 12040 RAYMOND CT, HUNTLEY, IL.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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