Blue Island Nursing Home
Organization Active NPI Nursing Facility/Intermediate Care Facility · Blue Island, IL
NPI 1487864419 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487864419
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 0035394 (IL)
- Legal business name
- BLUE ISLAND NURSING HOME
- Practice address
- 2427 Burr Oak Ave
Blue Island, IL 60406-2024 - Phone
- (708) 389-7799
- Fax
- (708) 389-8799
- NPI assigned
- May 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Zohar Hochenbaum, LNHA
- Title
- Administrator
- Phone
- (312) 330-5759
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0035394 | IL | Yes |
Addresses
Primary practice location
2427 Burr Oak Ave
Blue Island, IL 60406-2024
Mailing address
2427 Burr Oak Ave
Blue Island, IL 60406-2024
Phone (708) 389-7799
Other providers in Blue Island, IL
- Blue Island Home Care Services LLC
- Blue Island Hospital Company LLC
- Blue Island Hospital Company LLC
- Blue Island Medical Center Pharmacy Inc
- Blue Island Medical SC
- Blue Island Pathology LTD
- Blue Island Radiology Consultants
- Blue Island Smiles PC
- Laquay Boone
- Daniel Allen Boston
All providers in Blue Island, IL · Nursing Facility/Intermediate Care 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 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.