WOOD GLEN PAVILION, LLC (NPI# 1508074667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508074667 |
| Entity Type | Organization |
| Organization Name | WOOD GLEN PAVILION, LLC |
| Practice Address |
7444 Long Ave Skokie IL 60077-3214 |
| Mailing Address |
201 W North Ave West Chicago IL 60185-6224 |
| Practice Telephone | 8473294100 |
| Mailing Telephone | 6308768100 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BEN KLEIN (MANAGER) |
| Authorized Official Telephone | 8473294100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0043935 | IL | Nursing & Custodial Care Facilities |
| Street Address |
7444 LONG AVE |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336337302 | Phc Respiratory Services, LLC. | Durable Medical Equipment & Medical Supplies | 7444 Long Ave, Skokie, IL 60077-3214 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| 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 |
|---|---|---|---|---|
| 1457746083 | Paxton Healthcare and Rehab LLC | Skilled Nursing Facility | 3856 Oakton St Ste 200, Skokie, IL 60076-3455 | 2015-03-31 |
| 1912189929 | Skokie Meadows Nursing Centers II,llc | Skilled Nursing Facility | 9615 Knox Ave, Skokie, IL 60076-1219 | 2007-11-30 |
| 1861420457 | Village Nursing Home | Skilled Nursing Facility | 9000 Lavergne Ave, Skokie, IL 60077-1618 | 2006-06-30 |
| 1184664369 | Council for Jewish Elderly | Skilled Nursing Facility | 9700 Gross Point Rd, Skokie, IL 60076-1175 | 2006-06-07 |
| 1659318905 | Manorcare Health Services LLC | Skilled Nursing Facility | 4660 Old Orchard Rd, Skokie, IL 60076-1009 | 2006-06-02 |
| 1265499354 | Parkview Terrace, LLC | Skilled Nursing Facility | 3845 Oakton St, Skokie, IL 60076-3429 | 2006-05-01 |
| 1467426270 | Kenwood Healthcare Center Inc | Skilled Nursing Facility | 7434 Skokie Blvd, Skokie, IL 60077-3341 | 2006-02-16 |
| 1245227610 | Alden-north Shore Rehabilitation and Health Care Center, Inc. | Skilled Nursing Facility | 5050 Touhy Ave, Skokie, IL 60077-3542 | 2005-09-30 |
| 1639178544 | Skokie Meadow Nursing Center Inc | Skilled Nursing Facility | 9615 N Knox Ave, Skokie, IL 60076-1219 | 2005-07-21 |
| 1093354078 | Citadel of Skokie LLC | Skilled Nursing Facility | 9615 Knox Ave, Skokie, IL 60076-1219 | 2019-12-23 |
| Find all providers in SKOKIE | ||||
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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.