Illinois Veterans Home At Manteno

LBN: Illinois Veterans Home At Manteno
Illinois Veterans Home At Manteno is an health care organization with primary practice located at 1 Veterans Dr , Manteno IL 60950-9466. 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 Manteno can be contacted via phone (815) 468-6581, or through Booker, Reginald L via phone (815) 468-6581.

Contact Information

Primary practice address
1 Veterans Dr Manteno IL 60950-9466
Phone: (815) 468-6581
Fax: (815) 468-7001
Website:
Map and Directions
Authorized official contact:
Name: Booker, Reginald L LNHA
Phone: (815) 468-6581

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 0042218 Illinois
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 0042218 Illinois
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1831248228
LBN Legal business name Illinois Veterans Home At Manteno
DBA Doing business as
Authorized official Booker, Reginald L LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 15th, 2010 - about 16 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 1831248228 NPPES
Other 04621430 BCBS

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