Howe Center - Unit 4267
Organization
Active NPI
Nursing Care Agency · Tinley Park, IL
NPI 1073649018 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1073649018
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- License
- 6009666 (IL)
- Legal business name
- HOWE CENTER - UNIT 4267
- Practice address
- 7600 183Rd St
Unit 4267
Tinley Park, IL 60477-3690
- Phone
- (708) 614-3515
- Fax
- (708) 532-7289
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Jay Canna
- Title
- Center Director
- Phone
- (708) 614-3515
Corporate family (same tax ID) 24
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National Provider Directory
- Tax ID family
- Howe Center - Unit 4264 (292 organizations share this tax ID)
Locations
7600 183rd St
Unit 4267
Tinley Park, IL 60477
Phone (708) 614-3515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Nursing Care Agency |
251J00000X |
6009666 |
IL |
Yes |
Addresses
Primary practice location
7600 183Rd St
Unit 4267
Tinley Park, IL 60477-3690
Mailing address
7600 183Rd St
Unit 4267
Tinley Park, IL 60477-3690
Phone (708) 614-3515
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 000984267001 | Medicaid | IL | |