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CHICAGO HEIGHTS SLF LLC NPI 1831531805


NPI Information

NPI: 1831531805
Provider Name: CHICAGO HEIGHTS SLF, LLC

Doing Business As: PRAIRIE GREEN AT DIXIE CROSSING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 14D2182481

Address:
1040 DIXIE HWY
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 754-5700
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CHICAGO HEIGHTS SLF, LLC is an assisted living facility in Chicago Heights, 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. CHICAGO HEIGHTS SLF, LLC NPI is 1831531805. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie Green At Dixie Crossing.

The provider's business location address is:

1040 DIXIE HWY
CHICAGO HEIGHTS, IL
ZIP 60411-623
Phone: (708) 754-5700
Fax: (708) 754-5734

The provider's authorized official is Thomas Justin Trovato .
The authorized official title is Executive Director and has the following contact phone number (708) 754-5700.

The CLIA number assigned to this NPI record is 14D2182481 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2013 and was last updated on 7/21/2022.


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
1310400000XAssisted Living Facility001ILLINOISYes

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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