Healthcare Provider Details
I. General information
NPI: 1427431774
Provider Name (Legal Business Name): APERION CARE SPRING VALLEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2015
Last Update Date: 09/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1300 N GREENWOOD ST
SPRING VALLEY IL
61362-1576
US
IV. Provider business mailing address
1300 N GREENWOOD ST
SPRING VALLEY IL
61362-1576
US
V. Phone/Fax
- Phone: 815-664-4708
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YOSEF
MEYSTEL
Title or Position: MANAGER
Credential:
Phone: 847-673-6767