PRESENCE SENIOR SERVICES CHICAGOLAND


Address: 480 N Wolf Rd, North Lake, IL 60164
Phone: 7085620040

PRESENCE SENIOR SERVICES CHICAGOLAND (NPI# 1023002318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023002318
Entity Type Organization
Organization Name PRESENCE SENIOR SERVICES CHICAGOLAND
Other Organization Name PRESENCE VILLA SCALABRINI NURSING AND REHABILITATION CENTER
Practice Address 480 N Wolf Rd
North Lake
IL 60164
Mailing Address 480 N Wolf Rd
Northlake
IL 60164-1650
Practice Telephone 7085620040
Practice Fax Number 7085625180
Mailing Telephone 7085620040
Mailing Fax Number 7085626623
Enumeration Date 2005-09-01
Last Update Date 2016-04-04
Authorized Official Name MICHAEL GORDON (CFO)
Authorized Official Telephone 7084787911
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 0044792 IL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS 1201 01

Other Provider/Organization Names

Other Name Type Code
Presence Villa Scalabrini Nursing and Rehabilitation Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730173881 Presence Senior Services Chicagoland Skilled Nursing Facility 7370 W Talcott Ave, Chicago, IL 60631-3751 2005-09-06
1558355842 Presence Senior Services Chicagoland Skilled Nursing Facility 6930 W Touhy Ave, Niles, IL 60714-4522 2005-09-01
1225022510 Presence Senior Services Chicagoland Skilled Nursing Facility 1700 East Lake Ave, Glenview, IL 60025 2005-09-01
1730173048 Presence Senior Services Chicagoland Skilled Nursing Facility 1001 N Greenwood Ave, Park Ridge, IL 60068-2054 2005-09-01

Office Location

Street Address 480 N WOLF RD
City NORTH LAKE
State IL
Zip Code 60164

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1821546938 Anoop Banathia Registered Nurse 2912 Marion Ave, Melrose Park, IL 60164-1002 2016-09-18
1356596670 Monica Saavedra-kulousek Psychologist 916 N Prater Ave, Melrose Park, IL 60164-1111 2008-12-01
1851644249 Anjelica Sierra Speech-Language Pathologist 2944 Haber Ave, Melrose Park, IL 60164-1132 2012-10-22
1174910632 Ellen Locke Social Worker 1000 N Wolf Rd, Northlake, IL 60164-1438 2015-04-22
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1730790817 Ih Fox Valley Opco, LLC Skilled Nursing Facility 4020 E New York St, Aurora, IL 60504-4416 2020-08-12
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1487273330 Residential Alternatives of Illinois, Inc Skilled Nursing Facility 2203 Flagg Rd, Rochelle, IL 61068 2020-04-10
1932728003 Tco Jv, LLC Skilled Nursing Facility 550 Ridgeview Drive, Mchenry, IL 60050 2020-04-09
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1114550381 Rosiclare Hco, LLC Skilled Nursing Facility 55 Ferrell Rd, Rosiclare, IL 62982-1006 2020-02-17
1225672033 All Ways Caring Services, Inc. Skilled Nursing Facility 301 N Neil St Ste 301, Champaign, IL 61820-3167 2019-11-05
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Competitor

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City NORTH LAKE
Zip Code 60164

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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