Provider Demographics
NPI:1376301127
Name:SENIOR CARE OF QUINCY LLC
Entity Type:Organization
Organization Name:SENIOR CARE OF QUINCY LLC
Other - Org Name:HIGHPOINT RESIDENCE QUINCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-676-1700
Mailing Address - Street 1:7383 N LINCOLN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1749
Mailing Address - Country:US
Mailing Address - Phone:847-676-1700
Mailing Address - Fax:
Practice Address - Street 1:319 S 48TH ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62305-0593
Practice Address - Country:US
Practice Address - Phone:217-275-2380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility