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NPI Code Detail

MEDICARE: REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME

MEDICARE: REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1548614910
Entity Type Code : Organization
Provider Name (Legal Business Name) : REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
Provider Business Mailing Address
First Line : 18601 N CREEK DR
Second Line :
City : TINLEY PARK
State : IL
Zip : 60477-6397
Country : US
Telephone Number : 708-342-8100
Fax Number : 708-342-8006
Provider Business Practice Location Address
First Line : 10700 PARK PL
Second Line :
City : SAINT JOHN
State : IN
Zip : 46373-8666
Country : US
Telephone Number : 800-509-2800
Fax Number : 708-342-8006
Authorized Official
Title or Position : VICE PRESIDENT OF OPERATIONS
Name : JOHANNA ZANDSTRA
Credential :
Telephone Number : 708-342-8100
Provider Enumeration Date : 04/21/2016
Last Update Date : 01/23/2024

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Directions to “REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME ” 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.

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