Bayside Terrace Llc

LBN: Bayside Terrace Llc
Bayside Terrace Llc is an health care organization with primary practice located at 1100 S Lewis Ave , Waukegan IL 60085-7710. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Bayside Terrace Llc can be contacted via phone (847) 244-8196, or through Rafael, Demetria C. via phone (847) 244-8196.

Contact Information

Primary practice address
1100 S Lewis Ave Waukegan IL 60085-7710
Phone: (847) 244-8196
Fax: (847) 244-7647
Website:
Map and Directions
Authorized official contact:
Name: Rafael, Demetria C. Registered Nurse (RN)
Phone: (847) 244-8196

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 0023036 Illinois

Profile Details

NPI number 1912029521
LBN Legal business name Bayside Terrace Llc
DBA Doing business as
Authorized official Rafael, Demetria C. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 20th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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