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PROVIDENCE OPERATIONS, LLC , NPI 1174525422

Skilled Nursing Facility in PALOS HEIGHTS, IL

Last Updated on : Sep 23,2015

About PROVIDENCE OPERATIONS, LLC (NPI 1174525422)


PROVIDENCE OPERATIONS, LLC is a Skilled Nursing Facility in PALOS HEIGHTS, United States

1174525422 is NPI number of PROVIDENCE OPERATIONS, LLC.

PROVIDENCE OPERATIONS, LLC's primary taxonomy code based on NPI Lookup is 314000000X with license number 0028605. This taxonomy code refers to Skilled Nursing Facility.

PROVIDENCE OPERATIONS, LLC current practice location address is 13259 S CENTRAL AVE, PALOS HEIGHTS, IL. PROVIDENCE OPERATIONS, LLC can be reached out via phone at 708-597-1000 and via fax at 708-597-1000 .

You can also correspond with PROVIDENCE OPERATIONS, LLC through mail at mailing address 18601 N CREEK DR, TINLEY PARK, IL, United States. Mailing address contact number is 708-342-8100.

The enumeration date of PROVIDENCE OPERATIONS, LLC is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 7 years ago.

The authorized official of PROVIDENCE OPERATIONS, LLC is Johanna Zandstra (Compliance Officer). Johanna Zandstra can be reached at 7083428137.

1174525422 NPI Information

Name PROVIDENCE OPERATIONS, LLC
National Provider Id (NPI) 1174525422
Entity Type Organization
Practice Address 13259 S CENTRAL AVE,
PALOS HEIGHTS, IL, United States
Practice Telephone 708-597-1000
Practice Fax Number 708-597-1000
Mailing Address 18601 N CREEK DR ,
TINLEY PARK, IL, United States
Mailing Telephone 708-342-8100
Mailing Fax Number 708-342-8006
Enumeration Date 01-Jun-2005
Last Updated Date 23-Sep-2015

PROVIDENCE OPERATIONS, LLC (NPI 1174525422) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 314000000X Skilled Nursing Facility 0028605 IL

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
145681 MEDICARE ID-Type Unspecified (04) IL
362382853002 MEDICAID (05) IL

PROVIDENCE OPERATIONS, LLC (NPI 1174525422) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1396015764 DOMINIKA TERESA ZAHRADNICEK Chiropractor 6847 OAK VIEW CT,
OAK FOREST, IL, United States
03-Jan-2012
1568440154 TRACI KAY HEADLEY Specialist/Technologist, Athletic Trainer 635 W FAY AVE,
ELMHURST, IL, United States
04-Jan-2006
1427105378 TERRENCE M WALL Dentist, Oral and Maxillofacial Surgery 7400 W COLLEGE DR,
PALOS HEIGHTS, IL, United States
04-Jan-2007
1124175963 SHANE J DOOT Dentist, Oral and Maxillofacial Surgery 7400 W COLLEGE DR,
PALOS HEIGHTS, IL, United States
04-Jan-2007
1093045601 JYOTSNA P DESHPANDE Occupational Therapist 1450 TOMLIN DR,
BURR RIDGE, IL, United States
04-Jan-2010
1689147290 EMILY ERIN SMITH Counselor, Addiction (Substance Use Disorder) 134 NORTH LASALLE STREET, SUITE 400
CHICAGO, IL, United States
07-Jan-2019
1679551014 CALVIN ALEXANDER GRANT Ophthalmology 7808 W COLLEGE DR, SUITE 1-NW
PALOS HEIGHTS, IL, United States
05-Jan-2006
1043367592 KRISTA RUTH BOCK MANGAN Occupational Therapist 12635 S 76TH AVE,
PALOS HEIGHTS, IL, United States
05-Jan-2007
1033266473 DEREK A MELBY Internal Medicine 12251 S 80TH AVE,
PALOS HEIGHTS, IL, United States
05-Jan-2007
1265589584 JOHN ERNEST HELSEL Optometrist 7600 W COLLEGE DR,
PALOS HEIGHTS, IL, United States
05-Jan-2007
1821146143 KRISTIN MARGARET MIKOLITE Counselor, Addiction (Substance Use Disorder) 7300 W COLLEGE DR, SUITE 203
PALOS HEIGHTS, IL, United States
05-Jan-2007
1306824511 PARESH DIXIT Radiology, Diagnostic Radiology 7808 W COLLEGE DR, SUITE 1 SE
PALOS HEIGHTS, IL, United States
06-Jan-2006
1700864998 FRANK MATHEU Radiology, Diagnostic Radiology 7808 W COLLEGE DR, SUITE 1SE
PALOS HEIGHTS, IL, United States
06-Jan-2006
1336297464 GEORGE J DANGLES Ophthalmology 11845 SOUTHWEST HWY, UNIT 12
PALOS HEIGHTS, IL, United States
08-Jan-2007
1497930762 LYNDI SUE HOFSTRA Hearing Instrument Specialist 12705 SO RIDGELAND AVE, HOFSTRA FAMILY HEARING
PALOS HEIGHTS, IL, United States
07-Jan-2008
1912056326 JORGE E FERNALD Psychiatry & Neurology, Psychiatry 7300 W COLLEGE DR, SUITE #101
PALOS HEIGHTS, IL, United States
09-Jan-2007
1386881688 MANSOUR MOH'D ALSHOBAKI Family Medicine 7350 W COLLEGE DR STE 201,
PALOS HEIGHTS, IL, United States
08-Jan-2009
1750921631 BRENT REEVAS Nurse Practitioner 12251 S 80TH AVE,
PALOS HEIGHTS, IL, United States
08-Jan-2020
1083763825 JAMES EDWARD MCCORMICK Dentist, Endodontics 7600 W COLLEGE DR,
PALOS HEIGHTS, IL, United States
10-Jan-2007
1154743193 ZACHARY STELMACK Chiropractor 600 HILLGROVE AVE STE 3,
WESTERN SPRINGS, IL, United States
10-Jan-2014

FAQs

Whose NPI Number is 1174525422?

1174525422 is the NPI number of PROVIDENCE OPERATIONS, LLC.

Where is PROVIDENCE OPERATIONS, LLC located?

PROVIDENCE OPERATIONS, LLC is located at 13259 S CENTRAL AVE, PALOS HEIGHTS, IL.

NPI number meaning

Field Name Field Value
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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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