Healthcare Provider Details

I. General information

NPI: 1467559120
Provider Name (Legal Business Name): HIGHLAND PARK NURSING & REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 09/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 PLEASANT AVE
HIGHWOOD IL
60040-1813
US

IV. Provider business mailing address

8131 MONTICELLO AVE
SKOKIE IL
60076-3325
US

V. Phone/Fax

Practice location:
  • Phone: 847-432-9142
  • Fax: 847-432-4740
Mailing address:
  • Phone: 847-673-6767
  • Fax: 847-673-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0048330
License Number StateIL

VIII. Authorized Official

Name: MR. YOSEF MEYSTEL
Title or Position: MANAGER
Credential:
Phone: 847-673-6767