Healthcare Provider Details

I. General information

NPI: 1023797834
Provider Name (Legal Business Name): HARMONY SKILLED NURSING FACILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3919 W FOSTER AVE
CHICAGO IL
60625-6056
US

IV. Provider business mailing address

3450 OAKTON ST
SKOKIE IL
60076-2951
US

V. Phone/Fax

Practice location:
  • Phone: 773-588-9500
  • Fax: 773-588-9533
Mailing address:
  • Phone: 847-745-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MENACHEM SHABAT
Title or Position: MANAGER
Credential:
Phone: 847-745-7000