Provider Demographics
NPI:1215449459
Name:LANDMARK OF DES PLAINES REHABILITATION AND NURSING CENTER LLC
Entity type:Organization
Organization Name:LANDMARK OF DES PLAINES REHABILITATION AND NURSING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-281-4200
Mailing Address - Street 1:6101 NIMTZ PKWY
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46628-6111
Mailing Address - Country:US
Mailing Address - Phone:269-281-4200
Mailing Address - Fax:
Practice Address - Street 1:9300 W BALLARD RD
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4904
Practice Address - Country:US
Practice Address - Phone:847-294-2300
Practice Address - Fax:847-299-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility