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Contact Information

MEADOWS MENNONITE RETIREMENT COMMUNITY ASSOCIATION, INC.
24588 CHURCH ST
CHENOA, IL61726-9395
 Phone: 309-747-2702
 Fax: 309-747-2944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
 

Assisted Living Facility

310400000X
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for MEADOWS MENNONITE RETIREMENT COMMUNITY ASSOCIATION, INC.

NPI Number 1831194752
LBN Legal business name MEADOWS MENNONITE RETIREMENT COMMUNITY ASSOCIATION, INC.
Authorized official ROBERT BERTSCHE - (ADMINISTRATOR CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2005
Last updated 08/19/2013 - About 13 years ago
Identifiers
IL License # 0011544
IL Medicaid 11544
IL Medicaid 6006001
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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