OrganizationActive
Beth Anne Extended Living
NPI 1194902353 · Assisted Living Facility · Chicago, IL
Provider details
- NPI number
- 1194902353
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Bethel New Life, Inc.
- Authorized official
- Steven Mccullough, President and Ceo
Practice location
1143 N Lavergne Ave
Chicago, IL 60651-3117
Phone: (773) 287-2711
Fax: (773) 473-7871
Mailing address
1143 N Lavergne Ave
Chicago, IL 60651-3117
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2008-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.