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Contact Information

BERWYN RESPIRATORY & REHABILITATION CENTER LLC
3601 S HARLEM AVE
BERWYN, IL60402-3219
 Phone: 708-749-4160
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for BERWYN RESPIRATORY & REHABILITATION CENTER LLC

NPI # 1164248308
LBN Legal business name BERWYN RESPIRATORY & REHABILITATION CENTER LLC
Authorized official KIM BOULTON - (CONTRACT COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2024
Last updated 12/05/2024 - More than a year ago
Identifiers n/a
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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