PRESBYTERIAN HOMES (NPI# 1033179411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033179411 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HOMES |
| Practice Address |
3200 Grant Street Evanston IL 60201 |
| Mailing Address |
3200 Grant Street Attn Accounting Department Evanston IL 60201 |
| Practice Telephone | 8474924828 |
| Practice Fax Number | 8474924810 |
| Mailing Telephone | 8474924871 |
| Mailing Fax Number | 8475703426 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | ROBERT E LANDSMAN (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 8474924859 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD OF ILLINOIS | 1633224 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063472520 | Presbyterian Homes | Assisted Living Facility | 1100 Pembridge Drive, Lake Forest, IL 60045 | 2006-03-27 |
| 1891765996 | Presbyterian Homes | Skilled Nursing Facility | 811 E Central Rd, Arlington Heights, IL 60005-3244 | 2006-01-23 |
| 1831169945 | Presbyterian Homes | Assisted Living Facility | 1100 Pembridge Dr, Lake Forest, IL 60045 | 2006-01-23 |
| 1700856903 | Presbyterian Homes | Hospice, Inpatient | 3200 Grant Street, Evanston, IL 60201 | 2006-01-23 |
| 1124343157 | Presbyterian Homes | Assisted Living Facility | 3200 Grant St, Evanston, IL 60201-1903 | 2010-04-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Presbyterian Homes & Family Services Inc. | 150 Linden Ave, Lynchburg, Virginia 24503 |
| System for Award Management (SAM) Entities | PRESBYTERIAN HOMES & SERVICES | 4290 Middle Settlement Rd, New Hartford, NY 13413-5314 |
| New York State Corporations | PRESBYTERIAN HOMES & SERVICES, INC. | 4290 Middle Settlement Road, P.o. Box 1144, New Hartford, New York 13413 |
| System for Award Management (SAM) Entities | PRESBYTERIAN HOMES AND SERVICES | 9889 Penn Avenue S, Minneapolis, MN 55431-2912 |
| Washington State Corporations | PRESBYTERIAN HOMES AND SERVICES | 2845 Hamline Ave N, Roseville, MN 55113-7127 |
| Iowa Business Entities | PRESBYTERIAN HOMES AND SERVICES | 2845 Hamline Ave N, Roseville, MN 55113 |
| Indiana Business Entities | PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC. | 4109 Bardstown Rd., Suite C, Louisville, KY 40218 |
| System for Award Management (SAM) Entities | PRESBYTERIAN HOMES EAST WINSOR | 20 Lanning Blvd Ofc, Hightstown, NJ 08520-1930 |
| Indiana Business Entities | PRESBYTERIAN HOMES INC. | 1020 Conkey St, Hammond, IN 46320 |
| Iowa Business Entities | PRESBYTERIAN HOMES MILL POND, INC. | 2845 Hamline Ave. North, St Paul, MN 55113 |
| Street Address |
3200 GRANT STREET |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700856903 | Presbyterian Homes | Hospice, Inpatient | 3200 Grant Street, Evanston, IL 60201 | 2006-01-23 |
| 1649230350 | Monte Levinson | Internal Medicine | 3200 Grant Street, Evanston, IL 60201 | 2006-03-25 |
| 1942279179 | John Halderman | Psychiatry & Neurology | 3200 Grant Street, Evanston, IL 60201 | 2006-03-17 |
| 1245209998 | Lydia Ruth Torrese | Clinical Nurse Specialist | 3200 Grant Street, Evanston, IL 60201 | 2006-03-15 |
| 1578533246 | Presbyterian Home | Home Health | 3200 Grant Street, Evanston, IL 60201 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336624857 | Community Birth Group | Clinic/Center | 715 Austin St Apt 1e, Evanston, IL 60202-3475 | 2018-10-01 |
| 1821535188 | Edge Medical Services | Clinic/Center | 520 Judson Ave, Evanston, IL 60202-3084 | 2017-01-25 |
| 1447484381 | Ihc Health Services Inc | Clinic/Center | 150 Arrowhead Dr, Evanston, WY 82930-9353 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221004 | Live Ignite Thrive Limited | Clinic/Center | 6564 Marble Ln, Carpentersville, IL 60110-2494 | 2020-10-04 |
| 1508463563 | Graham Hospital Association | Clinic/Center | 120 E Gale St, Williamsfield, IL 61489-5418 | 2020-10-02 |
| 1336755941 | Sacred Heart Clinic of Lasalle Inc. | Clinic/Center | 920 West St Ste 214, Peru, IL 61354-2769 | 2020-09-18 |
| 1316563000 | Milestones Behavioral Health Services | Clinic/Center | 939 Georgetowne Dr, O Fallon, IL 62269-3414 | 2020-06-18 |
| 1689299257 | Precision Immediate Care and Medical Center, LLC | Clinic/Center | 3520 W North Ave, Stone Park, IL 60165-1042 | 2020-06-10 |
| 1013536663 | Katrina Lake Md LLC | Clinic/Center | 18503 Bellamy Rd, Country Club Hills, IL 60478-5279 | 2020-04-14 |
| 1558995779 | Signature Medical Clinic LLC | Clinic/Center | 2020 Dean St Ste G, St Charles, IL 60174-1665 | 2020-02-26 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
| 1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PRESBYTERIAN HOMES.
| 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.