BETH ANNE PLACE
NPI 1194902353
Assisted Living Facility in Chicago, IL

Q: What is Beth Anne Extended Living's NPI number?

The NPI number for Beth Anne Extended Living is 1194902353. It was assigned to this organization in the NPPES registry on January 29, 2008. The provider is also known as Beth Anne Place.

Q: What is Beth Anne Extended Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since January 29, 2008

1143 N LAVERGNE AVE, CHICAGO, IL 60651(773) 287-2711(773) 473-7871 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Beth Anne Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETH ANNE PLACE (NPI 1194902353) is a healthcare organization registered as an assisted living facility in Chicago, Illinois and active in the NPI registry since January 2008. The organization lists Steven D. Mccullough, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1194902353

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBETH ANNE EXTENDED LIVING

Location Address1143 N LAVERGNE AVEChicago, IL 60651-3117

Mailing Address1143 N Lavergne AveChicago, IL 60651-3117 · (773) 287-2711 · Fax (773) 473-7871

Phone(773) 287-2711

Fax(773) 473-7871

Organization SubpartYesParent: Bethel New Life, Inc.

Authorized OfficialSteven D. McculloughPresident And Ceo · (773) 473-7870

Enumeration DateJanuary 29, 2008

Last NPPES UpdateJanuary 30, 2008

✔ NPI 1194902353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1143 N LAVERGNE AVE, Chicago, IL 60651

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Other Names 1

Other NameBeth Anne Place

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASBURY OF BETHEL LLC

Assisted Living Facility

1143 N LAVERGNE AVE
CHICAGO, IL 60651

Cook County (773) 287-2711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beth Anne Extended Living's NPI number?

The NPI number for Beth Anne Extended Living is 1194902353. It was assigned to this organization in the NPPES registry on January 29, 2008. The provider is also known as Beth Anne Place.

Where is Beth Anne Extended Living located?

Beth Anne Extended Living is located at 1143 N Lavergne Ave, Chicago, IL 60651. The listed phone number is (773) 287-2711.

What is Beth Anne Extended Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Beth Anne Extended Living was last updated on January 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.