Provider Demographics
NPI:1356750269
Name:S-H OPCO PROSPECT HEIGHTS, LLC
Entity type:Organization
Organization Name:S-H OPCO PROSPECT HEIGHTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRAGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-728-9063
Mailing Address - Street 1:700 E EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-3409
Mailing Address - Country:US
Mailing Address - Phone:847-797-2700
Mailing Address - Fax:847-797-2705
Practice Address - Street 1:700 E EUCLID AVE
Practice Address - Street 2:
Practice Address - City:PROSPECT HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60070-3409
Practice Address - Country:US
Practice Address - Phone:847-797-2700
Practice Address - Fax:847-797-2705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0052886OtherSTATE OF IL IDPH