Chicagoland Christian Village, Inc.

LBN: Chicagoland Christian Village, Inc.
Chicagoland Christian Village, Inc. is an health care organization with primary practice located at 6685 E 117Th Ave , Crown Point IN 46307-7808. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Chicagoland Christian Village, Inc. can be contacted via phone (219) 662-0642, or through Mcghee, Susan via phone (217) 732-5175.

Contact Information

Primary practice address
6685 E 117Th Ave Crown Point IN 46307-7808
Phone: (219) 662-0642
Fax: (219) 663-4260
Website:
Map and Directions
Authorized official contact:
Name: Mcghee, Susan
Phone: (217) 732-5175

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Indiana

Profile Details

NPI number 1174541809
LBN Legal business name Chicagoland Christian Village, Inc.
DBA Doing business as
Authorized official Mcghee, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 29th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174541809 NPPES
Indiana Other 000000272904 ANTHEM BC/BS PROVIDER NUM

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