Provider Demographics
NPI:1629331491
Name:MIDWEST SENIOR MINISTRIES, INC
Entity Type:Organization
Organization Name:MIDWEST SENIOR MINISTRIES, INC
Other - Org Name:BRIDGEWAY OF BENSENVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGHEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-587-7903
Mailing Address - Street 1:303 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BENSENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60106-3515
Mailing Address - Country:US
Mailing Address - Phone:630-766-0605
Mailing Address - Fax:630-766-0752
Practice Address - Street 1:303 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BENSENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60106-3515
Practice Address - Country:US
Practice Address - Phone:630-766-0605
Practice Address - Fax:630-766-0752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility