Organization · Type 2 NPI

Manor Care of Homewood Il, LLC

Skilled Nursing Facility · Homewood, IL

NPI number 1063459782 Active

Practice location

940 Maple Rd
Homewood, IL 60430-2061

Call (708) 799-0244 Map

Fax (708) 799-1505

Mailing address

333 N Summit St
Toledo, OH 43604-2615

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center	261QR0400X	None listed
Skilled Nursing Facility Primary	314000000X	0036202 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

9 other providers at this address

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NPI record

NPI: 1063459782
Entity type: Organization (Type 2)
Issued: Jun 1, 2006
Last updated: Feb 28, 2023
Status: Active

Other names

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Promedica Skilled Nursing and Rehabilitation (homewood) · doing business as
Promedica Skilled Nursing and Rehabilitation (homewood) · doing business as

Authorized official

Mr. Martin D Allen
Director
(419) 252-5734

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063459782

Manor Care of Homewood Il, LLC's National Provider Identifier is 1063459782, issued on Jun 1, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Homewood, IL. The record was last updated on Feb 28, 2023.