GRAND VICTORIAN OF ROCKFORD, LLC
NPI 1891991550
Point of Service in Rockford, IL
About Grand Victorian Of Rockford, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND VICTORIAN OF ROCKFORD, LLC (NPI 1891991550) is a healthcare organization registered as a point of service in Rockford, Illinois and active in the NPI registry since June 2007. The organization lists John Holtz, Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Grand Victorian Of Rockford, LLC's NPI number?
The NPI number for Grand Victorian Of Rockford, LLC is 1891991550. It was assigned to this organization in the NPPES registry on June 21, 2007.
Where is Grand Victorian Of Rockford, LLC located?
Grand Victorian Of Rockford, LLC is located at 3495 Mcfarland Rd, Rockford, IL 61114. The listed phone number is (815) 654-1400.
What is Grand Victorian Of Rockford, LLC's specialty?
The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.
When was this NPI record last updated?
The NPPES record for Grand Victorian Of Rockford, LLC was last updated on May 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.
