Organization Name: | ILLINOIS VETERANS HOME AT MANTENO |
NPI Number: | 1831248228 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REGINALD L BOOKER (ADMINISTRATOR) |
Mailing Address: | 1 Veterans Dr Manteno |
State: | IL US |
Postal Code: | 609509466 |
Phone Number: | 8154686581 |
Fax Number: | 8154687001 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | 0042218 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |