Illinois Veterans Home At Lasalle

LBN: Illinois Veterans Home At Lasalle
Illinois Veterans Home At Lasalle is an health care organization with primary practice located at 1015 Oconor Ave , La Salle IL 61301-1216. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Suppliers / Durable Medical Equipment & Medical Supplies. Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities is the primary health care specialty. Illinois Veterans Home At Lasalle can be contacted via phone (815) 223-0303, or through Koehler, John G. via phone (815) 223-0303.

Contact Information

Primary practice address
1015 Oconor Ave La Salle IL 61301-1216
Phone: (815) 223-0303
Fax: (815) 223-5815
Website:
Map and Directions
Authorized official contact:
Name: Koehler, John G. LNHA
Phone: (815) 223-0303

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 44115 Illinois
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 44115 Illinois
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1942367453
LBN Legal business name Illinois Veterans Home At Lasalle
DBA Doing business as
Authorized official Koehler, John G. LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated May 24th, 2013 - about 13 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 1942367453 NPPES
Other 05032039 BCBS

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