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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 Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
Indicates primary specialty

NPI Profile & details for MARIANJOY AT PROVIDENCE PALOS HEIGHTS

NPI Number 1649404245
LBN Legal business name MARIANJOY AT PROVIDENCE PALOS HEIGHTS
Authorized official JACQUE' BARNES - (PATIENT ACCOUNT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2009
Last updated 02/11/2013 - About 13 years ago
Identifiers
IL Other 50426 BLUE CROSS BLUE SHIELD ILLINOIS
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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