PRESENCE SENIOR SERVICES CHICAGOLAND (NPI# 1225022510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225022510 |
Entity Type | Organization |
Organization Name | PRESENCE SENIOR SERVICES CHICAGOLAND |
Other Organization Name | PRESENCE MARYHAVEN NURSING AND REHABILITATION CENTER |
Practice Address |
1700 East Lake Ave Glenview IL 60025 |
Mailing Address |
1700 E Lake Ave Glenview IL 60025-2003 |
Practice Telephone | 8477291300 |
Practice Fax Number | 8477299620 |
Mailing Telephone | 8477291300 |
Mailing Fax Number | 8477299620 |
Enumeration Date | 2005-09-01 |
Last Update Date | 2016-05-24 |
Authorized Official Name | MICHAEL GORDON (CFO) |
Authorized Official Telephone | 7084787911 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0044768 | IL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS | 50038 | 01 |
Other Name | Type Code |
---|---|
Presence Maryhaven Nursing and Rehabilitation Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730173881 | Presence Senior Services Chicagoland | Skilled Nursing Facility | 7370 W Talcott Ave, Chicago, IL 60631-3751 | 2005-09-06 |
1023002318 | Presence Senior Services Chicagoland | Skilled Nursing Facility | 480 N Wolf Rd, North Lake, IL 60164 | 2005-09-01 |
1558355842 | Presence Senior Services Chicagoland | Skilled Nursing Facility | 6930 W Touhy Ave, Niles, IL 60714-4522 | 2005-09-01 |
1730173048 | Presence Senior Services Chicagoland | Skilled Nursing Facility | 1001 N Greenwood Ave, Park Ridge, IL 60068-2054 | 2005-09-01 |
Street Address |
1700 EAST LAKE AVE |
City | GLENVIEW |
State | IL |
Zip Code | 60025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
Find all providers in zip 60025 |
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 |
---|---|---|---|---|
1902413537 | Citadel of Glenview LLC | Skilled Nursing Facility | 1700 E Lake Ave, Glenview, IL 60025-2003 | 2020-09-28 |
1073688974 | Glenview Terrace Nursing Center | Skilled Nursing Facility | 1511 Greenwood Rd, Glenview, IL 60026-1513 | 2006-11-24 |
1548374465 | Glen Ridge Associates II Limited Partnership | Skilled Nursing Facility | 3901 Glenview Road, Glenview, IL 60025 | 2006-08-18 |
1649220906 | Cc Lake Inc | Skilled Nursing Facility | 2401 Indigo Ln, Glenview, IL 60026-1299 | 2006-05-10 |
1255790986 | Abington of Glenview Nursing & Rehab Center LLC | Skilled Nursing Facility | 3901 Glenview Rd, Glenview, IL 60025-2467 | 2016-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598379075 | Patient Builders Marketing | Skilled Nursing Facility | 800 W Army Trail Rd, Carol Stream, IL 60188-9040 | 2020-09-02 |
1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
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 |
1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
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 |
1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
1134696966 | Naperville Manor Hrc LLC | Skilled Nursing Facility | 200 Martin Ave, Naperville, IL 60540-6516 | 2018-10-30 |
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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.