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NPI Code Detail

MEDICARE: BELMONT NURSING HOME, INC.

MEDICARE: BELMONT NURSING HOME, INC.
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
1310500000XMental Illness Intermediate Care Facility0024968IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528149382
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELMONT NURSING HOME, INC.
Provider Business Mailing Address
First Line : 1936 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2025
Country : US
Telephone Number : 773-525-7176
Fax Number : 773-525-8929
Provider Business Practice Location Address
First Line : 1936 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2025
Country : US
Telephone Number : 773-525-7176
Fax Number : 773-525-8929
Authorized Official
Title or Position : PRESIDENT
Name : EILEEN CONWAY
Credential :
Telephone Number : 773-525-7176
Provider Enumeration Date : 10/18/2006
Last Update Date : 07/14/2009

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Directions to “BELMONT NURSING HOME, INC. ” Practice Location

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