TWIN LAKES EXTENDED CARE LLC
NPI 1154158657
Skilled Nursing Facility in Paris, IL

Active since September 18, 2024
310 S EADS AVE, PARIS, IL 61944(217) 465-5395(217) 463-2242 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Twin Lakes Extended Care Llc NPPES

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

TWIN LAKES EXTENDED CARE LLC (NPI 1154158657) is a healthcare organization registered as a skilled nursing facility in Paris, Illinois and active in the NPI registry since September 2024. The organization lists Benjamin Friedman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1154158657
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTWIN LAKES EXTENDED CARE LLC
Location Address310 S EADS AVEParis, IL 61944-1938
Mailing Address7b Medical Park DrPomona, NY 10970-3516 · (845) 414-3300 · Fax (845) 517-4796
Fax(217) 463-2242
Organization SubpartNo
Authorized OfficialBenjamin FriedmanCfo · (845) 414-3300
Enumeration DateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
NPI 1154158657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

310 S EADS AVE, Paris, IL 61944

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 14D0875719

Twin Lakes Extended Care LLC · Paris, IL
Expired · Jun 13, 2026
CLIA Number14D0875719
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 14, 2024
Certificate Expiration DateJune 13, 2026
Laboratory DirectorChaim Millman
Laboratory Phone(845) 414-3300
Laboratory LocationTwin Lakes Extended Care LLC310 Eads Ave, Paris, IL 61944
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Skilled Nursing Facility
310 S EADS AVE
PARIS, IL 61944
Skilled Nursing Facility
310 S EADS AVE
PARIS, IL 61944
Skilled Nursing Facility
310 S EADS AVE
PARIS, IL 61944
Physical Therapy Assistant
310 S EADS AVE
PARIS, IL 61944
Speech-Language Pathologist
310 S EADS AVE
PARIS, IL 61944
Skilled Nursing Facility
310 S EADS AVE
PARIS, IL 61944
Skilled Nursing Facility
310 S EADS AVE
PARIS, IL 61944
Physical Therapy Assistant
310 S EADS AVE
PARIS, IL 61944

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154158657, enumerated as an "organization" on September 18, 2024.

The provider is located at 310 S EADS AVE PARIS, IL 61944 and the phone number is (217) 465-5395.

Skilled Nursing Facility with taxonomy code 314000000X.