Healthcare Provider Details

I. General information

NPI: 1316541048
Provider Name (Legal Business Name): TWIN CITIES NURSING & REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 11/23/2020
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1385 E EMPIRE AVE
BENTON HARBOR MI
49022-2037
US

IV. Provider business mailing address

4655 W CHASE AVE
LINCOLNWOOD IL
60712-1605
US

V. Phone/Fax

Practice location:
  • Phone: 269-925-0033
  • Fax:
Mailing address:
  • Phone: 847-262-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YOSEF MEYSTEL
Title or Position: CEO
Credential:
Phone: 847-262-3800