CCN: 145344 NPI: 1952390585 Organization

LIBERTYVILLE MANOR EXT CARE

610 PETERSON RD , (HIGHWAY #137)
LIBERTYVILLE, IL 600481014

Contact Information

Phone 8473676100
Fax 8476802030
Enumeration Date 2005-10-17
Last Updated 2009-05-07

Taxonomies

Code: 314000000X (Primary) License State: IL License: 0017780

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9803863506

censusDivision 4

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0109799251

censusDivision 4

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 1.0

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 1.0

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 1.0

vbpAdjustment 0.980278308

censusDivision 4

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9829925845

censusDivision 4

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9839212329

censusDivision 4

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9839212329

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.