Provider Demographics
NPI:1215203476
Name:BIOME INC.
Entity Type:Organization
Organization Name:BIOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDEIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-846-0896
Mailing Address - Street 1:3160 SUNSET HL
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:61054-1000
Mailing Address - Country:US
Mailing Address - Phone:815-734-7297
Mailing Address - Fax:815-734-7297
Practice Address - Street 1:3160 SUNSET HL
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:IL
Practice Address - Zip Code:61054-1000
Practice Address - Country:US
Practice Address - Phone:815-734-7297
Practice Address - Fax:815-734-7297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-31
Last Update Date:2012-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility