MID AMERICA CARE CENTER
NPI 1083821102
Skilled Nursing Facility in Chicago, IL

Active since May 17, 2007
4920 N KENMORE AVE, CHICAGO, IL 60640(773) 769-2700 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mid America Care Center NPPES

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

MID AMERICA CARE CENTER (NPI 1083821102) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Yehoshua Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083821102
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMID-AMERICA CONVALESCENT CENTERS, INC.
Location Address4920 N KENMORE AVEChicago, IL 60640-3710
Mailing Address3553 W Peterson Ave, Suite 300Chicago, IL 60659-3200
Organization SubpartNo
Authorized OfficialYehoshua DavisAdministrator · (773) 463-1313
Enumeration DateMay 17, 2007
Last NPPES UpdateApril 20, 2008
NPI 1083821102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 0047035
Definition

(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.

4920 N KENMORE AVE, Chicago, IL 60640

Other Names 1

Doing Business AsMid America Care Center

Other Identifiers 2

Medicaid=========001IL
Other1134IL · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
4920 N KENMORE AVE
CHICAGO, IL 60640
Occupational Therapist
4920 N KENMORE AVE
CHICAGO, IL 60640
Speech-Language Pathologist
4920 N KENMORE AVE
CHICAGO, IL 60640
Physical Therapist
4920 N KENMORE AVE
CHICAGO, IL 60640
Occupational Therapist
4920 N KENMORE AVE
CHICAGO, IL 60640
Skilled Nursing Facility
4920 N KENMORE AVE
CHICAGO, IL 60640
Skilled Nursing Facility
4920 N KENMORE AVE
CHICAGO, IL 60640
Clinic/Center (Rehabilitation, Substance Use Disorder)
4920 N KENMORE AVE
CHICAGO, IL 60640

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083821102, enumerated as an "organization" on May 17, 2007.

The provider is located at 4920 N KENMORE AVE CHICAGO, IL 60640 and the phone number is (773) 769-2700.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.