Provider Demographics
NPI:1073890141
Name:THE BIRCHES, L.L.C.
Entity Type:Organization
Organization Name:THE BIRCHES, L.L.C.
Other - Org Name:THE BIRCHES ASSISTED LIVING
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:CURTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-789-1135
Mailing Address - Street 1:215 55TH ST
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1578
Mailing Address - Country:US
Mailing Address - Phone:630-789-1135
Mailing Address - Fax:
Practice Address - Street 1:215 55TH ST
Practice Address - Street 2:
Practice Address - City:CLARENDON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60514-1578
Practice Address - Country:US
Practice Address - Phone:630-789-1135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2062428310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility