SKOKIE MEADOWS NURSING CENTERS II,LLC NPI 1003004565

Intermediate Care Facility, Mental Illness

SKOKIE MEADOWS NURSING CENTERS II,LLC

Skokie Meadows Nursing Centers Ii,llc is a intermediate care facility, mental illness in Skokie, IL. Skokie Meadows Nursing Centers Ii,llc NPI is 1003004565. The provider's taxonomy code is 310500000X - Intermediate Care Facility, Mental Illness.The provider is doing business as is Skokie Meadows Behavioral Health Ctr. A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003004565
Provider Name: SKOKIE MEADOWS NURSING CENTERS II,LLC
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 10-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 05-24-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Other Organization Name: SKOKIE MEADOWS BEHAVIORAL HEALTH CTR Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Other Name Type: Doing Business As (3)

Authorized Official Name: MARK APPEL Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: MEMBER
Authorized Official Phone: (847) 679-4161


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1310500000X Additional informationCallout TooltipTaxonomy Code - 310500000X
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Nursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness0031393ILYes

Map Location


SKOKIE MEADOWS NURSING CENTERS II,LLC address is 4600 GOLF RD SKOKIE, IL 60076 Get Directions