Provider Demographics
NPI:1841786910
Name:MONARCH LANDING OPCO SL-VII LLC
Entity Type:Organization
Organization Name:MONARCH LANDING OPCO SL-VII LLC
Other - Org Name:THE SPRINGS AT MONARCH LANDING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:REIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-222-6262
Mailing Address - Street 1:2308 N ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2061
Mailing Address - Country:US
Mailing Address - Phone:630-300-1200
Mailing Address - Fax:630-300-1201
Practice Address - Street 1:2308 N ROUTE 59
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563
Practice Address - Country:US
Practice Address - Phone:360-300-1200
Practice Address - Fax:630-300-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility