Bridgemark Of Greenville, Llc
LBN: Bridgemark Of Greenville, Llc
Bridgemark Of Greenville, Llc is an health care organization with primary practice located at 400 E Hillview Ave , Greenville IL 62246-2607. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Bridgemark Of Greenville, Llc can be contacted via phone (618) 664-1622, or through Miller, Stephen P via phone (312) 994-2306.
Contact Information
Primary practice address
400 E Hillview Ave
Greenville IL 62246-2607
Phone: (618) 664-1622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 0046680 | Illinois |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0046680 | Illinois |
Profile Details
| NPI number | 1386641272 |
|---|---|
| LBN Legal business name | Bridgemark Of Greenville, Llc |
| DBA Doing business as | |
| Authorized official | Miller, Stephen P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Apr 29th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386641272 | NPPES |
| Illinois | Other | 0046680 | FACILITY LICENSE NUMBER |
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