National Provider Identifier Database

GAFLAKE COOK TERRACE
Custodial Care Facility

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.


Contact Information

GAF/LAKE COOK TERRACE
263 SKOKIE BLVD
NORTHBROOK, IL60062-1611
Phone: 847-564-0505
Fax:
Website:
Specialty Taxonomy Code
* Custodial Care Facility 311Z00000X

* Indicates primary specialty

NPI Profile & details for GAF/LAKE COOK TERRACE

NPI Number 1659368264
Legal business name
LBN
GAF/LAKE COOK TERRACE
Authorized official MELODY GOODMAN - (MDS COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 09/29/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 3639624779001

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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