Organization · Type 2 NPI

KT Care LLC

Mental Illness Intermediate Care Facility · Bourbonnais, IL

NPI number 1477824480 Active

Practice location

100 Belle Aire Ave
Bourbonnais, IL 60914-2006

Call (815) 939-0910 Map

Fax (815) 939-0973

Mailing address

1S443 Summit Ave
Oakbrook Terrace, IL 60181-3989

Specialties and licenses

Taxonomy	Code	License
Mental Illness Intermediate Care Facility Primary	310500000X	None listed

Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

2 other providers at this address

Other mental illness intermediate care facility providers in Bourbonnais

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NPI record

NPI: 1477824480
Entity type: Organization (Type 2)
Issued: Jan 23, 2012
Last updated: Jan 27, 2017
Status: Active
Subpart: Yes of JLM Financial Healthcare, LP

Other names

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Kankakee Terrace Nursing Center · doing business as

Authorized official

Mr. Jamie Nickle
Director
(630) 501-0996

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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 1477824480

KT Care LLC's National Provider Identifier is 1477824480, issued on Jan 23, 2012. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Bourbonnais, IL. The record was last updated on Jan 27, 2017.