SKOKIE MEADOWS NURSING CENTERS II,LLC NPI 1003004565

Intermediate Care Facility, Mental Illness in Skokie, IL

About SKOKIE MEADOWS NURSING CENTERS II,LLC

Skokie Meadows Nursing Centers Ii,llc is a provider in Skokie, IL. The NPI number assigned to this provider is 1003004565. The practitioner's primary taxonomy code is Intermediate Care Facility, Mental Illness (310500000X). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Skokie Meadows Behavioral Health Ctr.

NPI1003004565 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameSKOKIE MEADOWS NURSING CENTERS II,LLC
Provider Location Address4600 GOLF RD SKOKIE, IL 60076 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4600 GOLF RD SKOKIE, IL 60076 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization 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.
Other Organization NameSKOKIE 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 TypeDoing Business As (3)
Enumeration Date10-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date05-24-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

SKOKIE MEADOWS NURSING CENTERS II,LLC
4600 GOLF RD
SKOKIE, IL
ZIP 60076
Phone: (847) 679-4161
Fax: (847) 679-3241
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Mailing Address

SKOKIE MEADOWS NURSING CENTERS II,LLC
4600 GOLF RD
SKOKIE, IL
ZIP 60076
Phone: (847) 679-4161
Fax: (847) 679-3241

Primary Taxonomy

Taxonomy Code310500000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationIntermediate Care Facility, Mental Illness
TypeNursing & Custodial Care Facilities
License No.0031393
License StateIL
Taxonomy DescriptionA nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Authorized Official

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 TitleMEMBER
Authorized Official Phone(847) 679-4161

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
=========001MEDICAID (05)IL

Map Location


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