Healthcare Provider Details

I. General information

NPI: 1174612097
Provider Name (Legal Business Name): HAMPTON PLAZA NURSING AND REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9777 N GREENWOOD AVE
NILES IL
60714-1002
US

IV. Provider business mailing address

9777 N GREENWOOD AVE
NILES IL
60714-1002
US

V. Phone/Fax

Practice location:
  • Phone: 847-967-7000
  • Fax: 847-967-5054
Mailing address:
  • Phone: 847-967-7000
  • Fax: 847-967-5054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. HELEN LACEK
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 847-967-7000