Organization · Type 2 NPI

South Holland Manor HRC LLC

Skilled Nursing Facility · South Holland, IL

NPI number 1922575752 Active

Practice location

2145 E 170th St
South Holland, IL 60473-3788

Mailing address

2201 Main St
Evanston, IL 60202-1519

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

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…

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About NPI 1922575752

South Holland Manor HRC LLC's National Provider Identifier is 1922575752, issued on Oct 30, 2018. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in South Holland, IL. The record was last updated on Aug 11, 2025.