Provider Demographics
NPI:1912869215
Name:SILVER BIRCH OF BEDFORD HEIGHTS LLC
Entity type:Organization
Organization Name:SILVER BIRCH OF BEDFORD HEIGHTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LAUBACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-560-0837
Mailing Address - Street 1:151 N FRANKLIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-1937
Mailing Address - Country:US
Mailing Address - Phone:312-560-0837
Mailing Address - Fax:
Practice Address - Street 1:24781 COLUMBUS ROAD
Practice Address - Street 2:
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146
Practice Address - Country:US
Practice Address - Phone:312-560-0837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility