GROVE AT THE LAKE LIVING AND REHABILITATION CENTER LLC
NPI 1396024964
Skilled Nursing Facility in Zion, IL

NPI Status: Active since August 12, 2011

Contact Information

2534 ELIM AVE
ZION, IL
ZIP 60099
Phone: (847) 746-8435

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 14D0414983
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About GROVE AT THE LAKE LIVING AND REHABILITATION CENTER LLC

This page provides the complete NPI Profile along with additional information for Grove At The Lake Living And Rehabilitation Center Llc, a provider established in Zion, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1396024964 assigned on August 2011. The practitioner's primary taxonomy code is 314000000X with license number 2019775 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Reuven Levitin (Ar Manager)

NPI
1396024964
Provider Name
GROVE AT THE LAKE LIVING AND REHABILITATION CENTER LLC
Entity Type
Organization
Location Address
2534 ELIM AVE ZION, IL 60099
Location Phone
(847) 746-8435
Mailing Address
7040 N RIDGEWAY AVE LINCOLNWOOD, IL 60712
Mailing Phone
(847) 679-9797
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2011
Last Update Date
08-12-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
2019775
License State
IL
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REUVEN LEVITIN

Authorized Official Title
AR MANAGER
Authorized Official Phone
(847) 676-5307

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
145665MEDICARE OSCAR/CERTIFICATION (06) 
=========001MEDICAID (05)IL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0414983
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
THOMAS E. WOIKE DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grove At The Lake Living And Rehabilitation Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GROVE AT THE LAKE LIVING AND REHABILITATION CENTER LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396024964
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186028912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 2 + 8 + 9 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1396024964 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235135930SHERIDAN HEALTH CARE ASSOCIATE
Organization
Skilled Nursing Facility2534 ELIM AVE
ZION, IL 60099
(847) 746-8435
1588852339 JANET LEE HUGHES O.T.A.
Individual
Occupational Therapy Assistant2534 ELIM AVE
ZION, IL 60099
(847) 746-8435
1528475571 NINFA BONTES NP
Individual
Nurse Practitioner (Family)2534 ELIM AVE
ZION, IL 60099
(847) 746-8435
1487026787GROVE AT THE LAKE SKILLED NURSING FACILITY LLC
Organization
Skilled Nursing Facility2534 ELIM AVE
ZION, IL 60099
(847) 746-8435
1821500398 KAMILLA KRYSTYNA KAWECKI NP
Individual
Nurse Practitioner (Family)2534 ELIM AVE
ZION, IL 60099
(847) 746-8435
1770949067 ALEKSANDRA BESTERFELDT ANP
Individual
Nurse Practitioner (Psychiatric/Mental Health)2534 ELIM AVE
ZION, IL 60099
(847) 338-1475

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396024964, enumerated in the NPI registry as an "organization" on August 12, 2011

The provider is located at 2534 Elim Ave Zion, Il 60099 and the phone number is (847) 746-8435

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 14D0414983 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 12, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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