JACKSON SQUARE SKILLED NURSING & LIVING CENTER
NPI 1578941340
Skilled Nursing Facility in Chicago, IL
NPI Status: Active since May 13, 2015
Contact Information
5130 W JACKSON BLVD
CHICAGO, IL
ZIP 60644
Phone: (773) 921-8000
- Organization
- Skilled Nursing Facility
- Accepts Insurance
About JACKSON SQUARE SKILLED NURSING & LIVING CENTER
This page provides the complete NPI Profile along with additional information for Jackson Square Skilled Nursing & Living Center, a provider established in Chicago, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1578941340 assigned on May 2015. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Jackson Square Skilled Nursing & Living Center. The authorized official of this NPI record is David Hartman (Authorized Official)
- NPI
- 1578941340
- Provider Legal Name
- SYMPHONY JACKSON SQUARE LLC
- Other Organization Name
- JACKSON SQUARE SKILLED NURSING & LIVING CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5130 W JACKSON BLVD CHICAGO, IL 60644
- Location Phone
- (773) 921-8000
- Mailing Address
- 7257 N LINCOLN AVE LINCOLNWOOD, IL 60712
- Mailing Phone
- (847) 745-6212
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-13-2015
- Last Update Date
- 09-15-2015
- Code Navigator
Location Map
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
- 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:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
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.
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 |
|---|---|---|---|
| 14-5661 | OTHER (01) | MEDICARE ID |
Reviews for JACKSON SQUARE SKILLED NURSING & LIVING CENTER
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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. | |||||||||
| 1 | 5 | 7 | 8 | 9 | 4 | 1 | 3 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 18 | 4 | 2 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 8 + 4 + 2 + 3 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1578941340 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740351972 | JACKSON CORP Organization | Skilled Nursing Facility | 5130 W JACKSON BLVD CHICAGO, IL 60644 (773) 921-8000 |
| 1255592234 | GREEN HEALTHCARE LTD. Organization | Nurse Practitioner | 5130 W JACKSON BLVD CHICAGO, IL 60644 (773) 921-8000 |
| 1588816623 | JACKSON CORP Organization | Skilled Nursing Facility | 5130 W JACKSON BLVD CHICAGO, IL 60644 (773) 921-8000 |
| 1356578900 | JACKSON SQUARE SKILLED NURSING AAND LIVING Organization | Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies) | 5130 W JACKSON BLVD CHICAGO, IL 60644 (773) 921-8000 |
| 1740540848 | MISS EMILY R GOMEZTAGLE MS-SLP-CCC Individual | Speech-Language Pathologist | 5130 W JACKSON BLVD CHICAGO, IL 60644 (219) 308-9477 |
| 1235554486 | MR. BRYAN DE ROSAS OTR/L Individual | Occupational Therapist | 5130 W JACKSON BLVD CHICAGO, IL 60644 (773) 921-8000 |
| 1881006989 | MRS. JENNIFER BURNS OTR/L Individual | Occupational Therapist | 5130 W JACKSON BLVD CHICAGO, IL 60644 (773) 921-8000 |
| 1942783675 | ZACHARY RICHMOND CCC-SLP Individual | Speech-Language Pathologist | 5130 W JACKSON BLVD CHICAGO, IL 60644 (773) 921-8000 |
| 1447304431 | DORIS SHUWEN HUANG FNP Individual | Nurse Practitioner | 5130 W JACKSON BLVD CHICAGO, IL 60644 (773) 921-8000 |
| 1942984943 | RYZE WEST LLC Organization | Skilled Nursing Facility | 5130 W JACKSON BLVD CHICAGO, IL 60644 (773) 921-8000 |
| 1235855529 | RAQUEL LYN SZARFINSKI FNP-C Individual | Nurse Practitioner (Family) | 5130 W JACKSON BLVD CHICAGO, IL 60644 (773) 921-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578941340, enumerated in the NPI registry as an "organization" on May 13, 2015
The provider is located at 5130 W Jackson Blvd Chicago, Il 60644 and the phone number is (773) 921-8000
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 13, 2015. 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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