Maple Ridge Care Centre Llc

LBN: Maple Ridge Care Centre Llc
Maple Ridge Care Centre Llc is an health care organization with primary practice located at 2202 N Kickapoo St , Lincoln IL 62656-1306. 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. Maple Ridge Care Centre Llc can be contacted via phone (217) 735-1538, or through Braun, Michael Charles via phone (847) 583-0100.

Contact Information

Primary practice address
2202 N Kickapoo St Lincoln IL 62656-1306
Phone: (217) 735-1538
Fax: (217) 732-4818
Website:
Map and Directions
Authorized official contact:
Name: Braun, Michael Charles
Phone: (847) 583-0100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 42366 Illinois

Profile Details

NPI number 1609852847
LBN Legal business name Maple Ridge Care Centre Llc
DBA Doing business as
Authorized official Braun, Michael Charles
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2005
Last updated Oct 4th, 2011 - about 15 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 1609852847 NPPES
Illinois Other 42366 IDPH LICENSE NUMBER
Illinois Other 6005490 IDPH LICENSE NUMBER

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