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LAUREATE KANKAKEE OPERATIONS LLC
NPI 1205488954
Intermediate Care Facility, Mental Illness in Bourbonnais, IL

Active since July 12, 2019
100 BELLE AIRE AVE, BOURBONNAIS, IL 60914(815) 939-0910(815) 929-0973 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laureate Kankakee Operations Llc NPPES

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

LAUREATE KANKAKEE OPERATIONS LLC (NPI 1205488954) is a healthcare organization registered as an intermediate care facility, mental illness in Bourbonnais, Illinois and active in the NPI registry since July 2019. The organization lists Shaun Ahmad, Manager, as its authorized official.

NPPES Registry Identity

NPI1205488954
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameLAUREATE KANKAKEE OPERATIONS LLC
Location Address100 BELLE AIRE AVEBourbonnais, IL 60914-2006
Mailing Address13024 Balntyn Corp Pl Ste 425Charlotte, NC 28277-4420 · (704) 426-8849
Phone(815) 939-0910
Fax(815) 929-0973
Organization SubpartNo
Authorized OfficialShaun AhmadManager · (704) 426-8849
Enumeration DateJuly 12, 2019
✔ NPI 1205488954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
100 BELLE AIRE AVE, Bourbonnais, IL 60914
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Other Providers at the Same Location NPPES 2

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

KANKAKEE TERRACE OPERATOR LLC
Nursing Facility/Intermediate Care Facility
100 BELLE AIRE AVE
BOURBONNAIS, IL 60914
Kankakee County (815) 939-0910
KT CARE LLC
Intermediate Care Facility, Mental Illness
100 BELLE AIRE AVE
BOURBONNAIS, IL 60914
Kankakee County (815) 939-0910

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 Laureate Kankakee Operations LLC's NPI number?

The NPI number for Laureate Kankakee Operations LLC is 1205488954. It was assigned to this organization in the NPPES registry on July 12, 2019.

Where is Laureate Kankakee Operations LLC located?

Laureate Kankakee Operations LLC is located at 100 Belle Aire Ave, Bourbonnais, IL 60914. The listed phone number is (815) 939-0910.

What is Laureate Kankakee Operations LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Laureate Kankakee Operations LLC was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.