SKOKIE MEADOWS NURSING CENTER II (NPI# 1992704811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992704811 |
| Entity Type | Organization |
| Organization Name | SKOKIE MEADOWS NURSING CENTER II |
| Practice Address |
9933 Lawler Ave Ste #350, C/o Premier Management Co Skokie IL 60077-3703 |
| Mailing Address |
4600 Golf Rd Skokie IL 60076-1210 |
| Practice Telephone | 8476797733 |
| Practice Fax Number | 8476797736 |
| Mailing Telephone | 8476797733 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK APPEL (CONTROLLER) |
| Authorized Official Telephone | 8476797733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0031393 | IL | Nursing & Custodial Care Facilities |
| Street Address |
9933 LAWLER AVE STE #350, C/O PREMIER MANAGEMENT CO |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841661931 | Wendy Shorr | Durable Medical Equipment & Medical Supplies | 9933 Lawler Ave, Suite 340, Skokie, IL 60077-3773 | 2015-10-14 |
| 1861837973 | Kunnel Dental Center P.C. | Dentist | 9933 Lawler Ave, #401, Skokie, IL 60077-3703 | 2013-05-02 |
| 1093069866 | Ella Komarovsky Md | Clinic/Center | 9933 Lawler Ave, Suite 338a, Skokie, IL 60077-3703 | 2012-11-01 |
| 1376807966 | David B. Schwartz, Dds and Associates | Dentist | 9933 Lawler Ave, Skokie, IL 60077-3703 | 2012-06-27 |
| 1306114236 | Skokie Foot & Ankle Specialists, Ltd. | Podiatrist | 9933 Lawler Ave, Suite 315, Skokie, IL 60077-3703 | 2011-12-07 |
| 1467733741 | 1 Stop Homemaker Services, LLC. | In Home Supportive Care | 9933 Lawler Ave, Suite 206, Skokie, IL 60077-3703 | 2011-08-31 |
| 1346538402 | Brian Rosenblatt | Dentist | 9933 Lawler Ave, Ste# 340, Skokie, IL 60077-3703 | 2011-07-11 |
| 1841525656 | Sergey Viktorovich Dergachev | Massage Therapist | 9933 Lawler Ave, Suite 520, Skokie, IL 60077-3703 | 2009-10-12 |
| 1114178217 | Fabio Ortega Md Sc | Obstetrics & Gynecology | 9933 Lawler Ave, Suite 409, Skokie, IL 60077 | 2008-10-07 |
| 1679721880 | Monique Cleminson, Psy.d., P.C. | Psychologist | 9933 Lawler Ave, Suite 324, Skokie, IL 60077-3703 | 2008-08-29 |
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| 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 |
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| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225493703 | Jan Jacher | Nursing Facility/Intermediate Care Facility | 9700 Gross Point Rd, Skokie, IL 60076-1175 | 2015-12-28 |
| 1780929596 | Winfield Woods Healthcare Center LLC | Nursing Facility/Intermediate Care Facility | 8170 Mccormick Blvd, Suite118, Skokie, IL 60076-2961 | 2012-12-05 |
| 1376843284 | Heather Eisele | Nursing Facility/Intermediate Care Facility | 8170 Mccormick Blvd, Suite 204, Skokie, IL 60076-2961 | 2010-10-25 |
| 1366400483 | The A.r.c. of Jacksonville, Ltd | Nursing Facility/Intermediate Care Facility | 3845 Oakton St, Skokie, IL 60076-3429 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386094068 | Icg Home Health | Nursing Facility/Intermediate Care Facility | 4508 Camden Ct, Richton Park, IL 60471-1147 | 2016-06-14 |
| 1871999078 | Midwest Health Operations LLC | Nursing Facility/Intermediate Care Facility | 3601 16th Ave, Sterling, IL 61081-4059 | 2014-11-15 |
| 1437410891 | Mado Healthcare | Nursing Facility/Intermediate Care Facility | 1541 North Wells, Chicago, IL 60610-1307 | 2012-06-01 |
| 1134405392 | Faith Community Health Services, Inc | Nursing Facility/Intermediate Care Facility | 4449 177th St, Country Club Hills, IL 60478-4705 | 2011-11-01 |
| 1215188487 | Petersen Health Care, Inc | Nursing Facility/Intermediate Care Facility | 144 Jounior Ave., Kewanee, IL 61443 | 2008-10-07 |
| 1699936054 | Pinckneyville Healthcare Center | Nursing Facility/Intermediate Care Facility | 708 Virginia Ct, Pinckneyville, IL 62274-1538 | 2008-06-18 |
| 1184894412 | Parents and Friends of The Slc-home 1 | Nursing Facility/Intermediate Care Facility | 3 Gundlach Pl, Swansea, IL 62226-4227 | 2008-03-03 |
| 1740463074 | St. Joseph's Home of Springfield | Nursing Facility/Intermediate Care Facility | 3306 S 6th Street Rd, Springfield, IL 62703-4735 | 2007-12-10 |
| 1821283573 | Royal Living Center Inc | Nursing Facility/Intermediate Care Facility | 200 South 9th Street, New Baden, IL 62265 | 2007-09-06 |
| 1235323841 | Parents and Friends of Slc | Nursing Facility/Intermediate Care Facility | 1450 Caseyville Ave, Swansea, IL 62226-4517 | 2007-08-28 |
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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.