Organization
GENERATIONS AT REGENCY, LLC
Active
Other names
Regency Manor Nursing & Rehabilitation Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS WINTER (CFO)
(847) 675-7979
Entity
Organization
Contact information
Practice address
6631 N MILWAUKEE, NILES, IL 60714-4416
(847) 647-7444
(847) 647-6403
Mailing address
6631 N MILWAUKEE, NILES, IL 60714-4416
(847) 647-7444
(847) 647-6403
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
786
BLUE CROSS & BS
—
Enumeration date
08/22/2005
Last updated
04/12/2016
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