Provider Demographics
NPI:1427255777
Name:ASBURY COURT, LLC
Entity type:Organization
Organization Name:ASBURY COURT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-676-1700
Mailing Address - Street 1:1750 ELMHURST RD
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-1862
Mailing Address - Country:US
Mailing Address - Phone:847-228-1500
Mailing Address - Fax:847-228-1579
Practice Address - Street 1:1750 ELMHURST RD
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-1862
Practice Address - Country:US
Practice Address - Phone:847-228-1500
Practice Address - Fax:847-228-1579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL001310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid