BM OF CHICAGO RIDGE LLC (NPI# 1285630723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285630723 |
| Entity Type | Organization |
| Organization Name | BM OF CHICAGO RIDGE LLC |
| Other Organization Name | CHICAGO RIDGE NURSING CENTER |
| Practice Address |
10602 Southwest Hwy Chicago Ridge IL 60415-1429 |
| Mailing Address |
6500 N Hamlin Ave Lincolnwood IL 60712-3904 |
| Practice Telephone | 7084481540 |
| Mailing Telephone | 8476797484 |
| Mailing Fax Number | 8476797494 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | MR. DAVID LUBOWSKY (BOOKKEEPER) |
| Authorized Official Telephone | 8476797484 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 000045815 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Chicago Ridge Nursing Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669626693 | Bm of Chicago Ridge LLC | Skilled Nursing Facility | 10602 Southwest Hwy, Chicago Ridge, IL 60415-1429 | 2008-11-04 |
| Street Address |
10602 SOUTHWEST HWY |
| City | CHICAGO RIDGE |
| State | IL |
| Zip Code | 60415-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023576683 | Tiffany Wong | Occupational Therapist | 10602 Southwest Hwy, Chicago Ridge, IL 60415-1429 | 2019-03-03 |
| 1669626693 | Bm of Chicago Ridge LLC | Skilled Nursing Facility | 10602 Southwest Hwy, Chicago Ridge, IL 60415-1429 | 2008-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233854 | All American Physical Therapy P.C. | Clinic/Center | 9830 Ridgeland Ave Ste 3a, Chicago Ridge, IL 60415 | 2018-04-30 |
| 1841711561 | Limitless Transportation of Illinois | Non-emergency Medical Transport (VAN) | 6726 107th St Unit 2c, Chicago Ridge, IL 60415 | 2017-07-03 |
| 1376927293 | Fariha Querishi | Dentist | 6501 W 95th Street, Chicago Ridge, IL 60415 | 2015-07-10 |
| 1780958603 | Delores Jean Jackson | Occupational Therapy Assistant | 10300 Southwest Highway, Chicago Ridge, IL 60415 | 2012-02-24 |
| 1376855395 | Aa1 Medicar Transpotation Inc | Non-emergency Medical Transport (VAN) | 10624 S Major St 2n, Chicago Ridge, IL 60415 | 2010-07-07 |
| 1952591448 | Orion Diagnostic & Chiropractic Center | Chiropractor | 9830 S. Ridgeland Ave, Suite # 5, Chicago Ridge, IL 60415 | 2007-07-31 |
| 1518006808 | Christopher John Green | Dentist | 6422 W 107th St, Chicago Ridge, IL 60415 | 2007-02-05 |
| 1376697383 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 320 Chicago Ridge Mall # C15, Chicago Ridge, IL 60415 | 2007-01-23 |
| 1144372194 | Ikechukwu Oguejiofor | Urology | 10400 S0uthwest Highway, Chicago Ridge, IL 60415 | 2007-01-18 |
| 1306909148 | Edward Philip Mann | Ophthalmology | 5850 W 111th St, Chicago Ridge, IL 60415 | 2006-12-19 |
| Find all providers in zip 60415 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153374 | Lexington Health Care Center of Chicago Ridge Inc | Skilled Nursing Facility | 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 | 2005-09-08 |
| 1669626693 | Bm of Chicago Ridge LLC | Skilled Nursing Facility | 10602 Southwest Hwy, Chicago Ridge, IL 60415-1429 | 2008-11-04 |
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| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO RIDGE |
| Zip Code | 60415 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.