Organization · Type 2 NPI

Sovereign Healthcare

Nursing Facility/Intermediate Care Facility · Chicago, IL

NPI number 1174529614 Active

Practice location

6159 N Kenmore Ave
Chicago, IL 60660-2722

Call (773) 761-9050 Map

Fax (773) 761-9055

Mailing address

6500 N Hamlin
Lincolnwood, IL 60712

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNone listed

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1174529614

Sovereign Healthcare's National Provider Identifier is 1174529614, issued on Jun 21, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.