Provider Demographics
NPI:1326478108
Name:PLEASANT MEADOWS SENIOR LIVING LLC
Entity type:Organization
Organization Name:PLEASANT MEADOWS SENIOR LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF AR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR DUJUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-217-1014
Mailing Address - Street 1:331 S YORK RD STE 301
Mailing Address - Street 2:
Mailing Address - City:BENSENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60106-2673
Mailing Address - Country:US
Mailing Address - Phone:630-217-1014
Mailing Address - Fax:
Practice Address - Street 1:400 W WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHRISMAN
Practice Address - State:IL
Practice Address - Zip Code:61924-1042
Practice Address - Country:US
Practice Address - Phone:217-269-2396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility