NPI 1003002650

Churchview Supportive Living Community

Organisation Assisted Living Facility Chicago, IL

Practice location

Address: 2626 W 63rd St, Chicago, IL 60629-1655
Phone: (773) 471-4444
Fax: (773) 471-3935

Authorised official

Name: Laura Kelly
Title: Administrator
Phone: (773) 471-4444

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 0001 (IL)

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Registry record

NPI: 1003002650
Entity type: Organization
NPI issued: 18 Sep 2007
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.