National Provider Identifier Database

MARIANJOY AT PROVIDENCE PALOS HEIGHTS
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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.


Contact Information

MARIANJOY AT PROVIDENCE PALOS HEIGHTS
13259 S CENTRAL AVE
PALOS HEIGHTS, IL60463-2601
Phone: 630-909-7378
Fax: 630-909-7371
Website:
Specialty Taxonomy Code
* Skilled Nursing Facility 314000000X
Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for MARIANJOY AT PROVIDENCE PALOS HEIGHTS

NPI Number 1649404245
Legal business name
LBN
MARIANJOY AT PROVIDENCE PALOS HEIGHTS
Authorized official JACQUE' BARNES - (PATIENT ACCOUNT MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/11/2009
Last updated 02/11/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 50426 BLUE CROSS BLUE SHIELD ILLINOIS

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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