Organization Name: | PAXTON HEALTHCARE AND REAHB, LLC |
NPI Number: | 1417352873 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRADLEY M. ALTER (MANAGIGN MEMBER) |
Mailing Address: | 1240 N Market St Paxton |
State: | IL US |
Postal Code: | 609574158 |
Phone Number: | 2173794896 |
Fax Number: | 2173792561 |
NPI Enumeration Date: | 10/28/2014 |
NPI Last Update Date: | 10/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3140N1450X |
License Number: | 2192487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Skilled Nursing Facility |
Taxonomy Specialization: | Nursing Care, Pediatric |
Taxonomy Definition: | A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |