Provider Demographics
NPI:1023604063
Name:AHVA CARE OF WINFIELD, LLC
Entity type:Organization
Organization Name:AHVA CARE OF WINFIELD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARAK
Authorized Official - Middle Name:
Authorized Official - Last Name:BAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-674-2800
Mailing Address - Street 1:8140 MCCORMICK BLVD STE 137
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2920
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28W141 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1955
Practice Address - Country:US
Practice Address - Phone:630-668-9696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility