VANDALIA TERRACE, LTD (NPI# 1851359871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851359871 |
| Entity Type | Organization |
| Organization Name | VANDALIA TERRACE, LTD |
| Practice Address |
3845 Oakton St Skokie IL 60076-3429 |
| Practice Telephone | 8476790100 |
| Practice Fax Number | 8476790673 |
| Mailing Telephone | 8476790100 |
| Mailing Fax Number | 8476790673 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BYRON WITT (ADMINISTRATOR) |
| Authorized Official Telephone | 6182831434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 1687983 | IL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177033 | Vandalia Terrace, Ltd | Nursing Facility/Intermediate Care Facility | 1610 Hillsboro Rd, Vandalia, IL 62471-3221 | 2005-07-08 |
| Street Address |
3845 OAKTON ST |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265499354 | Parkview Terrace, LLC | Skilled Nursing Facility | 3845 Oakton St, Skokie, IL 60076-3429 | 2006-05-01 |
| 1366400483 | The A.r.c. of Jacksonville, Ltd | Nursing Facility/Intermediate Care Facility | 3845 Oakton St, Skokie, IL 60076-3429 | 2006-05-01 |
| 1588622609 | Litchfield Terrace, Ltd | Intermediate Care Facility, Mental Illness | 3845 Oakton St, Skokie, IL 60076-3429 | 2006-05-01 |
| 1255399275 | Springfield Terrace, Ltd | Intermediate Care Facility, Mental Illness | 3845 Oakton St, Skokie, IL 60076-3429 | 2006-05-01 |
| 1922066000 | Golden Moments Senior Care Center Ltd. | Skilled Nursing Facility | 3845 Oakton St, Skokie, IL 60076-3429 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003004565 | Skokie Meadows Nursing Centers II,llc | Intermediate Care Facility, Mental Illness | 4600 Golf Rd, Skokie, IL 60076-1210 | 2007-10-10 |
| 1366081341 | Skokie Meadows LLC | Intermediate Care Facility, Mental Illness | 4600 Golf Rd, Skokie, IL 60076-1210 | 2019-12-23 |
| 1588622609 | Litchfield Terrace, Ltd | Intermediate Care Facility, Mental Illness | 3845 Oakton St, Skokie, IL 60076-3429 | 2006-05-01 |
| 1255399275 | Springfield Terrace, Ltd | Intermediate Care Facility, Mental Illness | 3845 Oakton St, Skokie, IL 60076-3429 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376088146 | Inspire Senior Care, LLC | Intermediate Care Facility, Mental Illness | 401 Burke Dr, Joliet, IL 60433-2113 | 2017-01-03 |
| 1407024284 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 639 Hawthorne Ct, Galesburg, IL 61401-1200 | 2008-02-14 |
| 1508088410 | Lydia Healthcare | Intermediate Care Facility, Mental Illness | 13901 S Lydia Ave, Robbins, IL 60472-2215 | 2007-05-02 |
| 1154545879 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1089 Hawkinson Ave, Galesburg, IL 61401-6900 | 2007-04-12 |
| 1023231537 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1023 Dewey Ave, Kewanee, IL 61443-3205 | 2007-04-11 |
| 1609099118 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 501 N Grove St, Kewanee, IL 61443-2078 | 2007-04-11 |
| 1194948695 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1974 Windish Dr, Galesburg, IL 61401-6800 | 2007-04-11 |
| 1790908200 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1084 Lawrence Ave, Galesburg, IL 61401-2482 | 2007-04-11 |
| 1407079916 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1191 Jefferson St, Galesburg, IL 61401-2617 | 2007-04-11 |
| 1558584060 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1077 Hawkinson Ave, Galesburg, IL 61401-6901 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
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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.