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WICKSHIRE WILMETTE OPCO LLC NPI 1801403456


NPI Information

NPI: 1801403456
Provider Name: WICKSHIRE WILMETTE OPCO LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
615 RIDGE RD
WILMETTE, IL
ZIP 60091
Phone: (841) 256-1600
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WICKSHIRE WILMETTE OPCO LLC is an assisted living facility in Wilmette, IL. The provider is 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. WICKSHIRE WILMETTE OPCO LLC NPI is 1801403456. The provider is registered as an organization entity type.

The provider's business location address is:

615 RIDGE RD
WILMETTE, IL
ZIP 60091
Phone: (841) 256-1600

The provider's authorized official is Dan O'keefe .
The authorized official title is Ceo and has the following contact phone number (615) 942-0240.

The enumeration date for this NPI number is 9/28/2020 and was last updated on 9/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311500000XAlzheimer Center (Dementia Center)No
2310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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