Provider Demographics
NPI:1508547829
Name:ZAHAV OF DES PLAINES LLC
Entity Type:Organization
Organization Name:ZAHAV OF DES PLAINES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-563-0132
Mailing Address - Street 1:6557 N CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-4013
Mailing Address - Country:US
Mailing Address - Phone:847-563-0132
Mailing Address - Fax:847-299-4012
Practice Address - Street 1:9300 W BALLARD RD
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4904
Practice Address - Country:US
Practice Address - Phone:847-294-2300
Practice Address - Fax:847-200-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility