Providence Downers Grove

LBN: Providence Operations, Llc
Providence Downers Grove is an health care organization with primary practice located at 3450 Saratoga Ave , Downers Grove IL 60515-1141. 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. Providence Operations, Llc can be contacted via phone (630) 969-2900, or through Zandstra, Johanna R via phone (708) 342-8137.

Contact Information

Primary practice address
3450 Saratoga Ave Downers Grove IL 60515-1141
Phone: (630) 969-2900
Fax: (630) 969-2900
Website:
Map and Directions
Authorized official contact:
Name: Zandstra, Johanna R
Phone: (708) 342-8137

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0028605 Illinois

Profile Details

NPI number 1184626434
LBN Legal business name Providence Operations, Llc
DBA Doing business as Providence Downers Grove
Authorized official Zandstra, Johanna R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Aug 13th, 2015 - about 11 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 1184626434 NPPES
Illinois MEDICAID 362382853003

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