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: COMMUNITY CARE OPERATOR LLC

MEDICARE: COMMUNITY CARE OPERATOR 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
1314000000XSkilled Nursing Facility0029132IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639259864
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY CARE OPERATOR LLC
Provider Business Mailing Address
First Line : 6865 N LINCOLN AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-4611
Country : US
Telephone Number : 847-674-5795
Fax Number : 847-674-5794
Provider Business Practice Location Address
First Line : 4314 S WABASH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60653-3119
Country : US
Telephone Number : 773-538-8300
Fax Number : 773-538-5775
Authorized Official
Title or Position : CFO
Name : MR. AVRUM WEINFELD
Credential :
Telephone Number : 847-674-5795
Provider Enumeration Date : 10/16/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1083664304 — COMMUNITY CARE CENTER
Practice Location Address:
4314 S WABASH AVE
CHICAGO, IL
60653-3119
Practice Phone: 773-538-8300
Practice Fax: 773-538-5775
1629340690 — CC CARE LLC
Practice Location Address:
4314 S WABASH AVE
CHICAGO, IL
60653-3119
Practice Phone: 773-538-8300
Practice Fax: 773-538-5775
1649535972 — BON GAMIAO PACIS PT
Practice Location Address:
4314 S WABASH AVE
CHICAGO, IL
60653-3119
Practice Phone: 312-953-1175
Practice Fax:
1730426743 — MONIQUE HARDEN OTR/L
Practice Location Address:
4314 S WABASH AVE
CHICAGO, IL
60653-3119
Practice Phone: 773-286-1382
Practice Fax:
1205488947 — LAUREATE CHICAGO OPERATIONS LLC
Practice Location Address:
4314 S WABASH AVE
CHICAGO, IL
60653-3119
Practice Phone: 773-538-8300
Practice Fax: 773-538-5775
1700520210 — MAIYANNIE NECOE HUBBARD
Practice Location Address:
4314 S WABASH AVE
CHICAGO, IL
60653-3119
Practice Phone: 773-217-4840
Practice Fax:

Directions to “COMMUNITY CARE OPERATOR LLC ” 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.