MEDICARE: MANORCARE HEALTH SERVICES 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	261QR0400X	Rehabilitation Clinic/Center
2	314000000X	Skilled Nursing Facility	0027433	IL

General Provider Information

NPI Number	:	1467490383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANORCARE HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	333 N SUMMIT ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-2615
Country	:	US
Telephone Number	:	419-252-5500
Fax Number	:	877-385-9446

Provider Business Practice Location Address
First Line	:	715 W CENTRAL RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2348
Country	:	US
Telephone Number	:	847-392-2020
Fax Number	:	847-392-0174

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. MARTIN D ALLEN
Credential	:
Telephone Number	:	419-252-5734

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	02/11/2022

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