Organization Name: | GLEN SAINT ANDREW LIVING COMMUNITY, LLC |
NPI Number: | 1760887111 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHERINE F ALLEN (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 7000 N Newark Ave Niles |
State: | IL US |
Postal Code: | 607144577 |
Phone Number: | 8476478332 |
Fax Number: | 8476477073 |
NPI Enumeration Date: | 10/28/2014 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |