BOURBONNAIS TERRACE OPERATOR LLC
NPI 1760579163
Nursing Facility/Intermediate Care Facility in Bourbonnais, IL

Q: What is Bourbonnais Terrace Operator LLC's NPI number?

The NPI number for Bourbonnais Terrace Operator LLC is 1760579163. It was assigned to this organization in the NPPES registry on October 6, 2006. The provider was formerly known as Bourbonnais Terrace.

Q: What is Bourbonnais Terrace Operator LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since October 06, 2006

133 MOHAWK DR, BOURBONNAIS, IL 60914(815) 937-4790(815) 937-0432 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bourbonnais Terrace Operator Llc NPPES

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

BOURBONNAIS TERRACE OPERATOR LLC (NPI 1760579163), doing business as Bourbonnais Terrace, is a healthcare organization registered as a nursing facility/intermediate care facility in Bourbonnais, Illinois and active in the NPI registry since October 2006. The organization lists Avrum Weinfeld, Cfo, as its authorized official.

NPPES Registry Identity

NPI1760579163

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameBOURBONNAIS TERRACE OPERATOR LLC

Location Address133 MOHAWK DRBourbonnais, IL 60914-1349

Mailing Address6865 N Lincoln AveLincolnwood, IL 60712-4611 · (847) 674-5795 · Fax (847) 674-5794

Phone(815) 937-4790

Fax(815) 937-0432

Organization SubpartNo

Authorized OfficialAvrum WeinfeldCfo · (847) 674-5795

Enumeration DateOctober 6, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1760579163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in IL · 0021550

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

133 MOHAWK DR, Bourbonnais, IL 60914

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Other Names 1

Former Legal Business NameBourbonnais Terrace

Other Identifiers 1

Medicaid0021550IL

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)