GROVE AT THE LAKE LIVING AND REHABILITATION CENTER LLC (NPI# 1396024964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396024964 |
| Entity Type | Organization |
| Organization Name | GROVE AT THE LAKE LIVING AND REHABILITATION CENTER LLC |
| Practice Address |
2534 Elim Ave Zion IL 60099-2661 |
| Mailing Address |
7040 N Ridgeway Ave Lincolnwood IL 60712-2620 |
| Practice Telephone | 8477468435 |
| Mailing Telephone | 8476799797 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |
| Authorized Official Name | REUVEN LEVITIN (AR MANAGER) |
| Authorized Official Telephone | 8476765307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2019775 | IL | Nursing & Custodial Care Facilities |
| Street Address |
2534 ELIM AVE |
| City | ZION |
| State | IL |
| Zip Code | 60099-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135930 | Sheridan Health Care Associate | Skilled Nursing Facility | 2534 Elim Ave, Zion, IL 60099-2661 | 2005-06-27 |
| 1821500398 | Kamilla Krystyna Kawecki | Nurse Practitioner | 2534 Elim Ave, Zion, IL 60099-2661 | 2017-10-24 |
| 1770949067 | Aleksandra Besterfeldt | Nurse Practitioner | 2534 Elim Ave, Zion, IL 60099-2661 | 2016-01-03 |
| 1487026787 | Grove At The Lake Skilled Nursing Facility LLC | Skilled Nursing Facility | 2534 Elim Ave, Zion, IL 60099-2661 | 2015-10-26 |
| 1528475571 | Ninfa Bontes | Nurse Practitioner | 2534 Elim Ave, Zion, IL 60099-2661 | 2014-07-22 |
| 1588852339 | Janet Lee Hughes | Occupational Therapy Assistant | 2534 Elim Ave, Zion, IL 60099-2661 | 2007-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1295384790 | Loretta Beatrice Colwell | Technician | 3005 Elizabeth Ave, Zion, IL 60099 | 2019-09-06 |
| 1053893164 | Tea Mohn | Psychologist | 3901 W. 21st Street, Zion, IL 60099 | 2018-09-05 |
| 1326540808 | Monica Donald | Specialist/Technologist | 2825 Jethro Ct, Zion, IL 60099 | 2018-03-01 |
| 1265816516 | Igor Wroblewski | Internal Medicine | 2505 26th St, Zion, IL 60099 | 2015-07-16 |
| 1831432996 | Samuel Harrison Cannon Jr. | Nurse Anesthetist, Certified Registered | 3302 Wembley Dr, Zion, IL 60099 | 2013-03-27 |
| 1619213618 | Lizel Ann Granada | Nurse Practitioner | 2723 Sheridan Road, Suite C, Zion, IL 60099 | 2012-12-19 |
| 1194070540 | Shana Marie Pagtalunan Ramirez | Physical Therapist | 2404 Joppa Ave., Zion, IL 60099 | 2012-07-20 |
| 1962674978 | Zion Benton Children's Service | Dentist | 1608 W 23rd St, Zion, IL 60099 | 2008-03-31 |
| 1710176110 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4580 Rt. 173, Zion, IL 60099 | 2007-10-22 |
| Find all providers in zip 60099 | ||||
| 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 |
|---|---|---|---|---|
| 1114903754 | Slovak American Charitable Association | Skilled Nursing Facility | 3615 16th St, Zion, IL 60099-1423 | 2005-12-15 |
| 1235135930 | Sheridan Health Care Associate | Skilled Nursing Facility | 2534 Elim Ave, Zion, IL 60099-2661 | 2005-06-27 |
| 1487026787 | Grove At The Lake Skilled Nursing Facility LLC | Skilled Nursing Facility | 2534 Elim Ave, Zion, IL 60099-2661 | 2015-10-26 |
| 1649413105 | Helia Healthcare of Zion LLC | Skilled Nursing Facility | 1805 27th St, Zion, IL 60099-2541 | 2009-04-14 |
| 1821167974 | Zion Care Center LLC | Skilled Nursing Facility | 1805 27th St, Zion, IL 60099 | 2006-11-06 |
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| 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 |
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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.