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Contact Information

PLAZA NURSING & REHAB CENTER, LLC
3249 W 147TH ST
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
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PLAZA NURSING & REHAB CENTER, LLC

NPI Number 1831376615
LBN Legal business name PLAZA NURSING & REHAB CENTER, LLC
Authorized official JENNIFER SPECTOR - (VP OF REVENUE CYCLE MANAGEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2008
Last updated 09/09/2025 - About 9 months ago
Identifiers
IL Medicaid 363874863001
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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