PRESBYTERIAN HOMES (NPI# 1831169945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831169945 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HOMES |
| Other Organization Name | LAKE FOREST PLACE |
| Practice Address |
1100 Pembridge Dr Lake Forest IL 60045 |
| Mailing Address |
3200 Grant St Attn Accounting Department Evanston IL 60201 |
| Practice Telephone | 8476046700 |
| Practice Fax Number | 8476046604 |
| Mailing Telephone | 8474924871 |
| Mailing Fax Number | 8475703426 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | MR. 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 | 0044065 | IL | Nursing & Custodial Care Facilities |
| N | 314000000X | Skilled Nursing Facility | 0044065 | IL | Nursing & Custodial Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
0044065 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 4932281 | 01 | |
| BCBS | 2100 | 01 |
| Other Name | Type Code |
|---|---|
| Lake Forest Place | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1033179411 | Presbyterian Homes | Assisted Living Facility | 3200 Grant Street, Evanston, IL 60201 | 2006-03-28 |
| 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 |
1100 PEMBRIDGE DR |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043705304 | Jenna C Gerber | Speech-Language Pathologist | 1100 Pembridge Dr, Lake Forest, IL 60045-4228 | 2018-06-28 |
| 1831578335 | Nancy Pudrycki | Speech-Language Pathologist | 1100 Pembridge Dr, Lake Forest, IL 60045-4228 | 2015-05-29 |
| 1205106960 | William Brooks Spriegel | Psychiatry & Neurology | 1100 Pembridge Dr, No. 319, Lake Forest, IL 60045-4228 | 2012-01-11 |
| 1205890878 | Jennifer Ciccone | Nurse Practitioner | 1100 Pembridge Dr, Lake Forest, IL 60045-4228 | 2006-04-12 |
| 1306815006 | Nancy M Doherty | Nurse Practitioner | 1100 Pembridge Dr, Lake Forest, IL 60045 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1700103223 | Portola Anesthesia Services LLC | Clinic/Center | 29300 Portola Pkwy, Suite B, Lake Forest, CA 92630-8718 | 2010-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351062 | Sara M Gotheridge Md LLC | Clinic/Center | 630 Davis St Ste 301, Evanston, IL 60201-4480 | 2020-06-17 |
| 1407484645 | Macumber Medical Ltd | Clinic/Center | 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 | 2020-04-01 |
| 1477181782 | Embassy Studios North | Clinic/Center | 6455 N Cicero Ave, Lincolnwood, IL 60712-3407 | 2020-03-31 |
| 1689226318 | Midway Spine and Joint Pain Physicians | Clinic/Center | 5720 S Pulaski Rd, Chicago, IL 60629-4435 | 2019-07-12 |
| 1215598891 | Vero Clinics | Clinic/Center | 1192 E Pershing Rd, Decatur, IL 62526-4753 | 2019-06-25 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1033699467 | Healthpointe Medical Center Sc | Clinic/Center | 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 | 2018-08-15 |
| 1740794882 | Highland Park Cvs, L.L.C. | Clinic/Center | 72 Airport Plz, Bethalto, IL 62010-1774 | 2017-11-28 |
| 1447764014 | Dr Courtney Drendel Inc | Clinic/Center | 515 Hamilton St # 100, Geneva, IL 60134-2138 | 2017-11-19 |
| 1699206599 | David M Conner M.d. | Clinic/Center | 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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.