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NPI Code Detail

MEDICARE: GARDEN VIEW HOME, INC.

MEDICARE: GARDEN VIEW HOME, 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 Facility0009035IL

General Provider Information

NPI Number : 1972602738
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARDEN VIEW HOME, INC.
Provider Business Mailing Address
First Line : 8320 SKOKIE BLVD
Second Line :
City : SKOKIE
State : IL
Zip : 60077-2545
Country : US
Telephone Number : 847-933-9280
Fax Number : 847-933-9285
Provider Business Practice Location Address
First Line : 6450 N RIDGE BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60626-4804
Country : US
Telephone Number : 773-743-8700
Fax Number : 773-743-0140
Authorized Official
Title or Position : ATTORNEY
Name : MR. JEREMY SEGALL
Credential : ESQ.
Telephone Number : 847-933-9280
Provider Enumeration Date : 09/21/2006
Last Update Date : 08/22/2020

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Directions to “GARDEN VIEW HOME, INC. ” Practice Location

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