Resthave Home Of Whiteside County Illinois

LBN: Resthave Home Of Whiteside County Illinois
Resthave Home Of Whiteside County Illinois is an health care organization with primary practice located at 408 Maple Ave , Morrison IL 61270-2936. 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. Resthave Home Of Whiteside County Illinois can be contacted via phone (815) 772-4021, or through Tegeler, Tami Sue via phone (815) 772-4021.

Contact Information

Primary practice address
408 Maple Ave Morrison IL 61270-2936
Phone: (815) 772-4021
Fax: (815) 772-4583
Website:
Map and Directions
Authorized official contact:
Name: Tegeler, Tami Sue
Phone: (815) 772-4021

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0005785 Illinois

Profile Details

NPI number 1417943812
LBN Legal business name Resthave Home Of Whiteside County Illinois
DBA Doing business as
Authorized official Tegeler, Tami Sue
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2005
Last updated Jun 27th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417943812 NPPES
Illinois MEDICAID 14E288
Illinois Other IL6007884

Popular Providers