<Unavail>

LBN: Riviera Manor Nursing Home
<Unavail> is an health care organization with primary practice located at 490 W 16Th Pl , Chicago Heights IL 60411-3224. 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. Riviera Manor Nursing Home can be contacted via phone (708) 481-4444, or through Potekin, Richard S. via phone (708) 481-4444.

Contact Information

Primary practice address
490 W 16Th Pl Chicago Heights IL 60411-3224
Phone: (708) 481-4444
Fax: (708) 481-4606
Website:
Map and Directions
Authorized official contact:
Name: Potekin, Richard S. NONE
Phone: (708) 481-4444

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0004473 Illinois

Profile Details

NPI number 1528062098
LBN Legal business name Riviera Manor Nursing Home
DBA Doing business as <Unavail>
Authorized official Potekin, Richard S. NONE
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1528062098 NPPES
Illinois MEDICAID 00004473

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