B&D HOTEL CORPORATION (NPI# 1164450532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164450532 |
| Entity Type | Organization |
| Organization Name | B&D HOTEL CORPORATION |
| Other Organization Name | CENTRAL PLAZA RESIDENTIAL HOME |
| Practice Address |
321 N Central Ave Chicago IL 60644-2227 |
| Mailing Address |
465 Central Ave Suite 100 Northfield IL 60093-3045 |
| Practice Telephone | 7736262300 |
| Practice Fax Number | 7736267647 |
| Mailing Telephone | 8474418200 |
| Mailing Fax Number | 8474410800 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | ELISA JEAN SHLOFROCK-ZUSMAN (VP DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 8474418200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 1715281 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Plaza Residential Home | Doing Business As Name - Organization |
| Street Address |
321 N CENTRAL AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154447753 | Rainbow Beach Qoc, LLC | Intermediate Care Facility, Mental Illness | 7325 S Exchange Ave, Chicago, IL 60649-3407 | 2007-03-22 |
| 1932224243 | Grasmere Place, LLC | Intermediate Care Facility, Mental Illness | 4621 N Sheridan Rd, Chicago, IL 60640-5019 | 2007-03-20 |
| 1528149382 | Belmont Nursing Home, Inc. | Intermediate Care Facility, Mental Illness | 1936 W Belmont Ave, Chicago, IL 60657-2025 | 2006-10-18 |
| 1902994650 | Sacred Heart Home | Intermediate Care Facility, Mental Illness | 1550 S Albany Ave, Chicago, IL 60623-2212 | 2006-10-10 |
| 1497783872 | Clayton Residential Homes Inc | Intermediate Care Facility, Mental Illness | 2026 N Clark St, Chicago, IL 60614-4764 | 2006-06-28 |
| 1912998188 | Nine Forty Cullom Corporation | Intermediate Care Facility, Mental Illness | 940 W Cullom Ave, Chicago, IL 60613 | 2005-11-04 |
| 1417942384 | Margaret Manor Inc. | Intermediate Care Facility, Mental Illness | 1121 N Orleans St, Chicago, IL 60610 | 2005-09-15 |
| 1962407361 | Wilson Care, Inc. | Intermediate Care Facility, Mental Illness | 4544 N Hazel St, Chicago, IL 60640-5716 | 2005-06-14 |
| 1891790242 | Bryn Mawr Care, Inc. | Intermediate Care Facility, Mental Illness | 5547 N Kenmore Ave, Chicago, IL 60640-1515 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376088146 | Inspire Senior Care, LLC | Intermediate Care Facility, Mental Illness | 401 Burke Dr, Joliet, IL 60433-2113 | 2017-01-03 |
| 1407024284 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 639 Hawthorne Ct, Galesburg, IL 61401-1200 | 2008-02-14 |
| 1003004565 | Skokie Meadows Nursing Centers II,llc | Intermediate Care Facility, Mental Illness | 4600 Golf Rd, Skokie, IL 60076-1210 | 2007-10-10 |
| 1508088410 | Lydia Healthcare | Intermediate Care Facility, Mental Illness | 13901 S Lydia Ave, Robbins, IL 60472-2215 | 2007-05-02 |
| 1154545879 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1089 Hawkinson Ave, Galesburg, IL 61401-6900 | 2007-04-12 |
| 1023231537 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1023 Dewey Ave, Kewanee, IL 61443-3205 | 2007-04-11 |
| 1609099118 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 501 N Grove St, Kewanee, IL 61443-2078 | 2007-04-11 |
| 1194948695 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1974 Windish Dr, Galesburg, IL 61401-6800 | 2007-04-11 |
| 1790908200 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1084 Lawrence Ave, Galesburg, IL 61401-2482 | 2007-04-11 |
| 1407079916 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1191 Jefferson St, Galesburg, IL 61401-2617 | 2007-04-11 |
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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.