Provider Demographics
NPI:1215575857
Name:BUTTERFIELD HEALTH CARE X LLC
Entity Type:Organization
Organization Name:BUTTERFIELD HEALTH CARE X LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BAHRAM
Authorized Official - Last Name:JAFARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:331-472-4500
Mailing Address - Street 1:648 N RIVER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8968
Mailing Address - Country:US
Mailing Address - Phone:331-472-4500
Mailing Address - Fax:
Practice Address - Street 1:200 MARTIN AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6516
Practice Address - Country:US
Practice Address - Phone:630-355-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility