Friendship Manor Health Center

LBN: Friendship Manor Investors Llc
Friendship Manor Health Center is an health care organization with primary practice located at 485 S Friendship Dr , Nashville IL 62263-1363. 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. Friendship Manor Investors Llc can be contacted via phone (618) 327-3041, or through Ide, Mark via phone (317) 670-1577.

Contact Information

Primary practice address
485 S Friendship Dr Nashville IL 62263-1363
Phone: (618) 327-3041
Fax: (618) 327-4001
Website:
Map and Directions
Authorized official contact:
Name: Ide, Mark
Phone: (317) 670-1577

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0045922 Illinois

Profile Details

NPI number 1871582916
LBN Legal business name Friendship Manor Investors Llc
DBA Doing business as Friendship Manor Health Center
Authorized official Ide, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2005
Last updated Apr 20th, 2008 - about 18 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 1871582916 NPPES
Illinois Other 371302197001 MDS MEDICAID NUMBER
Illinois Other 704 MDS MEDICAID NUMBER

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