MEDICARE: GENEVA NURSING AND REHABILITATION CENTER, LP

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	314000000X	Skilled Nursing Facility		IL

General Provider Information

NPI Number	:	1902194905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENEVA NURSING AND REHABILITATION CENTER, LP

Provider Business Mailing Address
First Line	:	5151 CHURCH ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-1123
Country	:	US
Telephone Number	:	847-933-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 E STATE ST
Second Line	:
City	:	GENEVA
State	:	IL
Zip	:	60134-2438
Country	:	US
Telephone Number	:	630-232-7544
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. AVRUM WEINFELD
Credential	:
Telephone Number	:	847-933-9200

Provider Enumeration Date	:	07/12/2011
Last Update Date	:	10/16/2024

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