MEDICARE: BIOME INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1215203476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIOME INC.

Provider Business Mailing Address
First Line	:	3160 SUNSET HL
Second Line	:
City	:	MOUNT MORRIS
State	:	IL
Zip	:	61054-1000
Country	:	US
Telephone Number	:	815-734-7297
Fax Number	:	815-734-7297

Provider Business Practice Location Address
First Line	:	3160 SUNSET HL
Second Line	:
City	:	MOUNT MORRIS
State	:	IL
Zip	:	61054-1000
Country	:	US
Telephone Number	:	815-734-7297
Fax Number	:	815-734-7297

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. ANGELIKA BRANDEIS
Credential	:
Telephone Number	:	708-846-0896

Provider Enumeration Date	:	03/31/2012
Last Update Date	:	03/31/2012

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Directions to “BIOME INC. ” Practice Location

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