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Contact Information

HARBOR HOUSE OF WHEELING IV, LLC
760 MCHENRY RD
WHEELING, IL60090-3861
 Phone: 847-465-1100
 Fax: 847-465-0146
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Custodial Care Facility

311Z00000X
Indicates primary specialty

NPI Profile & details for HARBOR HOUSE OF WHEELING IV, LLC

NPI Number 1790374510
LBN Legal business name HARBOR HOUSE OF WHEELING IV, LLC
Authorized official BENJAMIN ISRAEL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2021
Last updated 01/15/2021 - About 5 years ago
Identifiers
IL Other 0055624 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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