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Contact Information

PLAZA TERRACE NURSING HOME
3249 W 147TH STREET
MIDLOTHIAN, IL60445
 Phone: 708-389-3141
 Fax: 708-396-1626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for PLAZA TERRACE NURSING HOME

NPI # 1255305165
LBN Legal business name PLAZA TERRACE NURSING HOME
Authorized official LATONYA DAVIS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL License # 1566662
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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