ELGIN SKILLED NURSING FACILITY LLC (NPI# 1619456670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619456670 |
| Entity Type | Organization |
| Organization Name | ELGIN SKILLED NURSING FACILITY LLC |
| Other Organization Name | AVANTARA OF ELGIN |
| Practice Address |
1950 Larkin Ave Elgin IL 60123-5843 |
| Mailing Address |
3450 Oakton St Skokie IL 60076-2951 |
| Practice Telephone | 8477427070 |
| Practice Fax Number | 8477427248 |
| Mailing Telephone | 8476799797 |
| Mailing Fax Number | 8476791026 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |
| Authorized Official Name | MENACHEM SHABAT (PRINCIPAL) |
| Authorized Official Telephone | 8476799797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avantara of Elgin | Doing Business As Name - Organization |
| Street Address |
1950 LARKIN AVE |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-5843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336191147 | Sherman West Court | Skilled Nursing Facility | 1950 Larkin Ave, Elgin, IL 60123-5843 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| 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 |
|---|---|---|---|---|
| 1184146920 | Avondale Estates of Elgin LLC | Skilled Nursing Facility | 1760 Capital St, Elgin, IL 60124-7890 | 2017-07-13 |
| 1114479813 | Midwest Health Professionals | Skilled Nursing Facility | 891 W Chicago St, Elgin, IL 60123-6259 | 2016-10-28 |
| 1073970299 | Deisy Palomar | Skilled Nursing Facility | 788 Hiawatha Dr, Elgin, IL 60120-3126 | 2016-01-19 |
| 1033588322 | Ph Elgin, LLC | Skilled Nursing Facility | 1754 Capital Street, Elgin, IL 60124 | 2015-09-17 |
| 1629165915 | Jacobson Memorial Hospital Care Center | Skilled Nursing Facility | 601 E Street N, Elgin, ND 58533 | 2006-10-06 |
| 1336191147 | Sherman West Court | Skilled Nursing Facility | 1950 Larkin Ave, Elgin, IL 60123-5843 | 2006-05-17 |
| 1033110903 | Asta Care Center of Elgin LLC | Skilled Nursing Facility | 134 N Mclean Blvd, Elgin, IL 60123-5169 | 2005-08-02 |
| 1447255849 | Maplewood Care, Inc. | Skilled Nursing Facility | 50 N Jane Dr, Elgin, IL 60123-5118 | 2005-06-14 |
| 1366985087 | Elgin Nh LLC | Skilled Nursing Facility | 2355 Royal Blvd, Elgin, IL 60123-4716 | 2016-11-29 |
| 1164972667 | Apostolic Christian Resthaven | Skilled Nursing Facility | 2750 W Highland Ave, Elgin, IL 60124-4202 | 2016-10-07 |
| Find all providers in ELGIN | ||||
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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.