Bridgeview Health Care Center, LTD.
Organization Active NPI Skilled Nursing Facility · Bridgeview, IL
NPI 1376520668 · NPPES record last updated Aug 19, 2011
Key facts
- NPI
- 1376520668
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0037358 (IL)
- Legal business name
- BRIDGEVIEW HEALTH CARE CENTER, LTD.
- Practice address
- 8100 S Harlem Ave
Bridgeview, IL 60455-1690 - Phone
- (708) 594-5440
- NPI assigned
- Dec 28, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Marshall A Mauer
- Title
- Secretary-Treasurer
- Phone
- (847) 679-8219
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0724718 | Bridgeview Health Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0037358 | IL | Yes |
Addresses
Primary practice location
8100 S Harlem Ave
Bridgeview, IL 60455-1690
Mailing address
3359 Main St
Skokie, IL 60076-2432
Other providers in Bridgeview, IL
- James Boblak
- Kathleen Bordelon
- Joshua Allen Bradshaw
- Bridgeview Dental Management
- Bridgeview Foot and Ankle, P.C.
- Bridgeview Medical Center LTD
- Bridgeview Pediatrics, P.C.
- Bridgeview Smiles
- Maheen Brohi
- Burks Transportation
All providers in Bridgeview, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.