Provider Demographics
NPI:1013915362
Name:SENIOR LIFESTYLE MANAGEMENT LLC
Entity Type:Organization
Organization Name:SENIOR LIFESTYLE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-673-4333
Mailing Address - Street 1:111 E WACKER DR
Mailing Address - Street 2:2200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-3713
Mailing Address - Country:US
Mailing Address - Phone:312-673-4333
Mailing Address - Fax:
Practice Address - Street 1:111 E WACKER DR
Practice Address - Street 2:2200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-3713
Practice Address - Country:US
Practice Address - Phone:312-673-4333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility