Provider Demographics
NPI:1508100249
Name:HEIGHTS HEALTHCARE AND REHABILITATION CENTRELLC
Entity Type:Organization
Organization Name:HEIGHTS HEALTHCARE AND REHABILITATION CENTRELLC
Other - Org Name:THE HEIGHTS HEALTHCARE AND REHABILITATION CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF ACCOUNTS RECEIVABLES
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-897-9231
Mailing Address - Street 1:1629 E GARDNER LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:61616-3613
Mailing Address - Country:US
Mailing Address - Phone:309-685-1545
Mailing Address - Fax:309-685-1571
Practice Address - Street 1:1629 E GARDNER LN
Practice Address - Street 2:
Practice Address - City:PEORIA HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:61616-3613
Practice Address - Country:US
Practice Address - Phone:309-685-1545
Practice Address - Fax:309-685-1571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
145811Medicare PIN