GLEN CREST NURSING & REHABILITATION CENTRE LTD (NPI# 1790782456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790782456 |
| Entity Type | Organization |
| Organization Name | GLEN CREST NURSING & REHABILITATION CENTRE LTD |
| Practice Address |
2451 W Touhy Ave Chicago IL 60645-3309 |
| Mailing Address |
5454 Fargo Ave Skokie IL 60077-3210 |
| Practice Telephone | 7733386800 |
| Practice Fax Number | 7733381166 |
| Mailing Telephone | 8476745454 |
| Mailing Fax Number | 8476748311 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | MR. SIDNEY GLENNER (PRESIDENT) |
| Authorized Official Telephone | 8476745454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 28753 | IL | Nursing & Custodial Care Facilities |
| Street Address |
2451 W TOUHY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60645-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891209 | Katherine Cartina | Nurse Practitioner | 2451 W Touhy Ave, Chicago, IL 60645-3309 | 2020-08-10 |
| 1811536204 | Elevate Care Chicago North LLC | Durable Medical Equipment & Medical Supplies | 2451 W Touhy Ave, Chicago, IL 60645-3309 | 2020-01-02 |
| 1023673365 | Elevate Care Chicago North LLC | Skilled Nursing Facility | 2451 W Touhy Ave, Chicago, IL 60645-3309 | 2019-05-02 |
| 1366943938 | Arnel Cordero | Physical Therapy Assistant | 2451 W Touhy Ave, Chicago, IL 60645-3309 | 2018-02-28 |
| 1477054153 | Hannah Beth Brownstein | Physical Therapy Assistant | 2451 W Touhy Ave, Chicago, IL 60645-3309 | 2018-02-27 |
| 1952802639 | Beverly D Beasley | Occupational Therapy Assistant | 2451 W Touhy Ave, Chicago, IL 60645-3309 | 2018-02-27 |
| 1053812586 | Ma Deianera Ortinero | Physical Therapist | 2451 W Touhy Ave, Chicago, IL 60645-3309 | 2018-02-21 |
| 1669972899 | Yubicela Delgado | Physical Medicine & Rehabilitation | 2451 W Touhy Ave, Chicago, IL 60645-3309 | 2018-02-14 |
| 1689174849 | Jessica Lemon | Occupational Therapist | 2451 W Touhy Ave, Chicago, IL 60645-3309 | 2018-02-14 |
| 1679972590 | Glencrest Nursing & Rehabilitation Centre | Skilled Nursing Facility | 2451 W Touhy Ave, Chicago, IL 60645-3309 | 2014-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
| 1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
| 1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
| 1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
| 1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
| 1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
| 1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
| 1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
| 1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
| 1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
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| 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 |
|---|---|---|---|---|
| 1053812974 | Alden Estates-courts of Huntley, Inc. | Skilled Nursing Facility | 4200 W Peterson Ave Ste 140, Chicago, IL 60646-6819 | 2018-02-26 |
| 1194271825 | Veronica Mack | Skilled Nursing Facility | 9738 S Merrion Ave, Chicago, IL 60617-4846 | 2016-09-01 |
| 1982050886 | Bernadette Aguilar | Skilled Nursing Facility | 125 S Green St, Unit 808a, Chicago, IL 60607-3197 | 2016-05-10 |
| 1720445539 | Maria Callahan | Skilled Nursing Facility | 1839 S Prairie Pkwy, Chicago, IL 60616-4389 | 2016-01-25 |
| 1265856710 | Royal Staff Inc | Skilled Nursing Facility | 10934 S Beverly Ave, Chicago, IL 60643-3752 | 2014-02-04 |
| 1114355336 | Mobile Anesthesiologist | Skilled Nursing Facility | 8420 Bryn Mawr, Chicago, IL 60631 | 2013-10-25 |
| 1821439738 | Mercy Circle | Skilled Nursing Facility | 3659 W. 99th Street, Chicago, IL 60655 | 2013-07-09 |
| 1982946604 | Admiral At The Lake | Skilled Nursing Facility | 933 W. Foster Ave, Chicago, IL 60640 | 2013-03-20 |
| 1730447566 | Sound Imaging Inc. | Skilled Nursing Facility | 6970 N Mcalpin Ave, Chicago, IL 60646-1141 | 2012-04-30 |
| 1821355561 | Ltc Practitioners of Illinois | Skilled Nursing Facility | 3915 N. Kenneth Ave., Chicago, IL 60641-2816 | 2012-04-19 |
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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.