Provider Demographics
NPI:1679950919
Name:AURORA MEMORY CARE
Entity type:Organization
Organization Name:AURORA MEMORY CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ECO
Authorized Official - Prefix:
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-280-2410
Mailing Address - Street 1:1340 N RIVER ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1477
Mailing Address - Country:US
Mailing Address - Phone:630-892-8800
Mailing Address - Fax:
Practice Address - Street 1:1340 N RIVER ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1477
Practice Address - Country:US
Practice Address - Phone:630-892-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHT OAKS ROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation