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NPI Code Detail

MEDICARE: CMCP- MONTROSE, LLC

MEDICARE: CMCP- MONTROSE, 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
1310400000XAssisted Living Facility2370ROH

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 : 1649431552
Entity Type Code : Organization
Provider Name (Legal Business Name) : CMCP- MONTROSE, LLC
Provider Business Mailing Address
First Line : 330 N WABASH AVE
Second Line : SUITE 1400
City : CHICAGO
State : IL
Zip : 60611-3586
Country : US
Telephone Number : 312-977-3700
Fax Number : 312-977-3701
Provider Business Practice Location Address
First Line : 100 BROOKMONT RD
Second Line :
City : AKRON
State : OH
Zip : 44333-9207
Country : US
Telephone Number : 330-666-4545
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHN P RIJOS
Credential :
Telephone Number : 312-977-3700
Provider Enumeration Date : 06/23/2008
Last Update Date : 06/23/2008

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