DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FLORA PAVILION NURSING HOME CENTER, INC

MEDICARE: FLORA PAVILION NURSING HOME CENTER, 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
1314000000XSkilled Nursing Facility0038760IL

General Provider Information

NPI Number : 1336100999
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORA PAVILION NURSING HOME CENTER, INC
Provider Business Mailing Address
First Line : 3856 OAKTON ST
Second Line : SUITE
City : SKOKIE
State : IL
Zip : 60076-3454
Country : US
Telephone Number : 847-674-4700
Fax Number : 847-674-4733
Provider Business Practice Location Address
First Line : 701 SHADWELL AVE
Second Line :
City : FLORA
State : IL
Zip : 62839-2310
Country : US
Telephone Number : 618-662-8361
Fax Number : 618-662-2811
Authorized Official
Title or Position : CEO
Name : MR. BRADLEY ALTER
Credential :
Telephone Number : 847-674-4700
Provider Enumeration Date : 03/31/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1275622003 — PETERSEN HEALTH NETWORK, LLC
Practice Location Address:
701 SHADWELL AVE
FLORA, IL
62839-2310
Practice Phone: 618-662-8361
Practice Fax: 618-662-2811
1962654145 — PETERSEN COMPANIES, LLC
Practice Location Address:
701 SHADWELL AVE
FLORA, IL
62839-2310
Practice Phone: 618-662-8361
Practice Fax:
1285147959 — KATIE BRIANNA VANBLARICUM
Practice Location Address:
701 SHADWELL AVE
FLORA, IL
62839-2310
Practice Phone: 618-662-8361
Practice Fax:
1205405859 — MARISSA LYNNAE MAXHAM PTA
Practice Location Address:
701 SHADWELL AVE
FLORA, IL
62839-2310
Practice Phone: 618-662-8361
Practice Fax:
1033880653 — LARA HEALY OTR
Practice Location Address:
701 SHADWELL AVE
FLORA, IL
62839-2310
Practice Phone: 618-662-8361
Practice Fax:
1073243747 — SHELBY CUFFLE
Practice Location Address:
701 SHADWELL AVE
FLORA, IL
62839-2310
Practice Phone: 618-662-8361
Practice Fax:

Directions to “FLORA PAVILION NURSING HOME CENTER, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.