LAKE FOREST PLACE
NPI 1063472520
Clinic/Center - Multi-Specialty in Lake Forest, IL

Q: What is Presbyterian Homes's NPI number?

The NPI number for Presbyterian Homes is 1063472520. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is doing business as Lake Forest Place.

Q: What is Presbyterian Homes's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since March 27, 2006CLIA 14D2112454 · Waiver

1100 PEMBRIDGE DRIVE, LAKE FOREST, IL 60045(847) 604-6700(847) 570-3426 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Lake Forest Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE FOREST PLACE (NPI 1063472520) is a healthcare organization registered as a multi-specialty in Lake Forest, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Robert E Landsman, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1063472520

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePRESBYTERIAN HOMES

Location Address1100 PEMBRIDGE DRIVELake Forest, IL 60045

Mailing Address3200 Grant Street, Attn Accounting DepartmentEvanston, IL 60201 · (847) 492-4871 · Fax (847) 570-3426

Phone(847) 604-6700

Fax(847) 570-3426

Organization SubpartNo

Authorized OfficialRobert E LandsmanVice President Of Finance · (847) 492-4859

Enumeration DateMarch 27, 2006

Last NPPES UpdateJune 4, 2008

✔ NPI 1063472520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedAssisted Living FacilityTaxonomy 310400000X

Also ListedSkilled Nursing FacilityTaxonomy 314000000X

1100 PEMBRIDGE DRIVE, Lake Forest, IL 60045

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Other Names 1

Doing Business AsLake Forest Place

Other Identifiers 2

Other04932281IL · Blue Cross Blue Shield Illinois

Medicare ID-Type Unspecified211076IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2112454

Lake Forest Place · Lake Forest, IL

Active · expires Apr 28, 2028

CLIA Number14D2112454

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateApril 29, 2026

Certificate Expiration DateApril 28, 2028

Laboratory DirectorCarol A. Van Berkel

Laboratory Phone(847) 604-6701

Laboratory LocationLake Forest Place1101 Pembridge Dr, Lake Forest, IL 60045

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Presbyterian Homes's NPI number?

The NPI number for Presbyterian Homes is 1063472520. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is doing business as Lake Forest Place.

Where is Presbyterian Homes located?

Presbyterian Homes is located at 1100 Pembridge Drive, Lake Forest, IL 60045. The listed phone number is (847) 604-6700.

What is Presbyterian Homes's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Presbyterian Homes hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2112454) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Presbyterian Homes was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.