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BOURBONNAIS TERRACE N.H
NPI 1518238500
Intermediate Care Facility, Mental Illness in Bourbonnais, IL

Active since January 23, 2012
133 MOHAWK DR, BOURBONNAIS, IL 60914(815) 937-4790(815) 937-0432 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 31, 2017, Jan 27, 2017, Aug 24, 2016 (3 updates tracked since 2016).

About Bourbonnais Terrace N.h NPPES

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

BOURBONNAIS TERRACE N.H (NPI 1518238500) is a healthcare organization registered as an intermediate care facility, mental illness in Bourbonnais, Illinois and active in the NPI registry since January 2012. The organization lists Jamie Nickle, Director, as its authorized official.

NPPES Registry Identity

NPI1518238500
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameBT BOURBONNAIS CARE, LLC
Location Address133 MOHAWK DRBourbonnais, IL 60914-1349
Mailing Address1s443 Summit AveOakbrook Terrace, IL 60181-3989 · (847) 767-5763
Phone(815) 937-4790
Fax(815) 937-0432
Organization SubpartYesParent: Jlm Financial Healthcare, Lp
Authorized OfficialJamie NickleDirector · (630) 501-0996
Enumeration DateJanuary 23, 2012
Last NPPES UpdateJanuary 31, 20173 updates tracked since enumeration
✔ NPI 1518238500 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.
133 MOHAWK DR, Bourbonnais, IL 60914
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Other Names 1

Doing Business AsBourbonnais Terrace N.h

Other Identifiers 1

Medicaid0051631IL

Other Providers at the Same Location NPPES 6

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

MX BEHAVIORAL HEALTH SC
Psychiatry & Neurology (Psychiatry)
133 MOHAWK DR
BOURBONNAIS, IL 60914
Kankakee County (815) 937-4790
MORRIS I ESFORMES & ARNOLD GASSEL
Nursing Facility/Intermediate Care Facility
133 MOHAWK DR
BOURBONNAIS, IL 60914
Kankakee County (815) 937-4896
LAUREATE BOURBONNAIS OPERATIONS LLC
Intermediate Care Facility, Mental Illness
133 MOHAWK DR
BOURBONNAIS, IL 60914
Kankakee County (815) 937-4790
OAK FOREST PSYCHOLOGICAL SERVICE, P.C.
Psychiatry & Neurology (Psychiatry)
133 MOHAWK DR
BOURBONNAIS, IL 60914
Kankakee County (815) 937-4790
BOURBONNAIS TERRACE OPERATOR LLC
Nursing Facility/Intermediate Care Facility
133 MOHAWK DR
BOURBONNAIS, IL 60914
Kankakee County (815) 937-4790
MS. ALISON MARGARET HASSELBRING C.O.T.A.
Occupational Therapy Assistant
133 MOHAWK DR
BOURBONNAIS, IL 60914
Kankakee County (815) 937-0432

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 Bt Bourbonnais Care, LLC's NPI number?

The NPI number for Bt Bourbonnais Care, LLC is 1518238500. It was assigned to this organization in the NPPES registry on January 23, 2012. The provider is doing business as Bourbonnais Terrace N.H.

Where is Bt Bourbonnais Care, LLC located?

Bt Bourbonnais Care, LLC is located at 133 Mohawk Dr, Bourbonnais, IL 60914. The listed phone number is (815) 937-4790.

What is Bt Bourbonnais Care, 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 Bt Bourbonnais Care, LLC was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.