Healthcare Provider Details

I. General information

NPI: 1336385764
Provider Name (Legal Business Name): WARREN PARK HEALTH AND LIVING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 N DAMEN AVE
CHICAGO IL
60645-4902
US

IV. Provider business mailing address

3755 CHASE AVE
SKOKIE IL
60076-4008
US

V. Phone/Fax

Practice location:
  • Phone: 773-465-5000
  • Fax: 773-743-5983
Mailing address:
  • Phone: 224-470-2044
  • Fax: 224-470-2952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0050070
License Number StateIL

VIII. Authorized Official

Name: MS. FRANCES MEEHAN
Title or Position: ATTORNEY
Credential:
Phone: 312-521-2467