PINNACLE HEALTHCARE OF WAUKEGAN (NPI# 1033290986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033290986 |
| Entity Type | Organization |
| Organization Name | PINNACLE HEALTHCARE OF WAUKEGAN |
| Practice Address |
2222 W 14th Street Waukegan IL 60085 |
| Mailing Address |
1020 N Milwaukee Ave Suite 140 Deerfield IL 60015 |
| Practice Telephone | 8472492400 |
| Practice Fax Number | 8472490536 |
| Mailing Telephone | 8475419100 |
| Mailing Fax Number | 8475419015 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. EDNA B BROSAS (MANAGER) |
| Authorized Official Telephone | 8472492400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0044453 | IL | Nursing & Custodial Care Facilities |
| Street Address |
2222 W 14TH STREET |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437286309 | Pavilion of Waukegan, II, Inc. | Skilled Nursing Facility | 2217 Washington St, Waukegan, IL 60085-5060 | 2007-02-27 |
| 1245337476 | Glenlake Terrace Nursing & Rehabilitation Ceter, LLC | Skilled Nursing Facility | 2222 14th St, Waukegan, IL 60085-7708 | 2006-09-20 |
| 1699744557 | The Terrace Nursing Home,l.l.c. | Skilled Nursing Facility | 1615 Sunset Ave, Waukegan, IL 60087-3810 | 2006-03-14 |
| 1811549579 | Laureate Terrace Operations LLC | Skilled Nursing Facility | 1615 Sunset Ave, Waukegan, IL 60087-3810 | 2019-07-12 |
| 1457822199 | Elevate Care Waukegan LLC | Skilled Nursing Facility | 2222 14th St, Waukegan, IL 60085-7708 | 2018-12-06 |
| 1023417946 | Glenlake Terrace Nursing & Rehabilitation Centre | Skilled Nursing Facility | 2222 14th St, Waukegan, IL 60085-7708 | 2014-08-15 |
| 1801166962 | Tn Care, LLC | Skilled Nursing Facility | 1615 Sunset Ave, Waukegan, IL 60087-3810 | 2012-01-06 |
| 1871766741 | Pavilion of Waukegan, LLC | Skilled Nursing Facility | 2217 Washington St, Waukegan, IL 60085-5060 | 2008-04-10 |
| 1255408704 | Glenlake Terrace Nursing and Rehabilitation Centre Ltd | Skilled Nursing Facility | 2222 14th St, Waukegan, IL 60085-7708 | 2006-11-29 |
| 1184719197 | The Terrace Nh Operator LLC | Skilled Nursing Facility | 1615 Sunset Ave, Waukegan, IL 60087-3810 | 2006-10-04 |
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| 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.