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NPI Code Detail

MEDICARE: HERITAGE WOODS OF GREENBRIAR LLC

MEDICARE: HERITAGE WOODS OF GREENBRIAR LLC
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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1588597637
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERITAGE WOODS OF GREENBRIAR LLC
Provider Business Mailing Address
First Line : 200 E COURT ST STE 400
Second Line :
City : KANKAKEE
State : IL
Zip : 60901-3848
Country : US
Telephone Number : 815-935-1992
Fax Number : 815-935-8380
Provider Business Practice Location Address
First Line : 8800 SPOON DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4230
Country : US
Telephone Number : 317-899-6777
Fax Number : 317-899-2657
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. STEVE HORVE
Credential :
Telephone Number : 217-875-1362
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “HERITAGE WOODS OF GREENBRIAR LLC ” Practice Location

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