MEDICARE: APERION CARE SPRING VALLEY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1427431774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APERION CARE SPRING VALLEY LLC

Provider Business Mailing Address
First Line	:	1300 N GREENWOOD ST
Second Line	:
City	:	SPRING VALLEY
State	:	IL
Zip	:	61362-1576
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 N GREENWOOD ST
Second Line	:
City	:	SPRING VALLEY
State	:	IL
Zip	:	61362-1576
Country	:	US
Telephone Number	:	815-664-4708
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	YOSEF MEYSTEL
Credential	:
Telephone Number	:	847-673-6767

Provider Enumeration Date	:	07/06/2015
Last Update Date	:	09/10/2019

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