Healthcare Provider Details
I. General information
NPI: 1700649910
Provider Name (Legal Business Name): APERION CARE HANOVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/31/2024
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
410 W LAGRANGE RD
HANOVER IN
47243-9439
US
IV. Provider business mailing address
4655 W CHASE AVE
LINCOLNWOOD IL
60712-1605
US
V. Phone/Fax
- Phone: 812-866-2625
- Fax:
- Phone: 847-262-3800
- 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 | |
VIII. Authorized Official
Name:
JENNIFER
SPECTOR
Title or Position: VP OF REVENUE CYCLE MANAGEMENT
Credential:
Phone: 847-262-3800