Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beth Anne Extended Living

Organization Assisted Living Facility · NPI 1194902353

Beth Anne Extended Living is an Assisted Living Facility in Chicago, Illinois. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1143 N Lavergne Ave
Chicago, IL 60651-3117
Phone: (773) 287-2711
Fax: (773) 473-7871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1194902353
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBethel New Life, Inc
Authorized official Steven McCullough — President And Ceo · (773) 473-7870
Other names Beth Anne Place
NPI enumeratedJanuary 29, 2008
Last updated in NPPESJanuary 30, 2008
Mailing address1143 N Lavergne Ave, Chicago, IL 60651-3117

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