PROVIDENCE PALOS HEIGHTS
NPI 1174525422
Skilled Nursing Facility in Palos Heights, IL

Active since June 01, 2005
13259 S CENTRAL AVE, PALOS HEIGHTS, IL 60463(708) 597-1000(708) 597-1000 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Palos Heights NPPES

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

PROVIDENCE PALOS HEIGHTS (NPI 1174525422) is a healthcare organization registered as a skilled nursing facility in Palos Heights, Illinois and active in the NPI registry since June 2005. The organization lists Johanna R Zandstra, Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1174525422
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROVIDENCE OPERATIONS, LLC
Location Address13259 S CENTRAL AVEPalos Heights, IL 60463-2601
Mailing Address18601 N Creek DrTinley Park, IL 60477-6397 · (708) 342-8100 · Fax (708) 342-8006
Fax(708) 597-1000
Organization SubpartNo
Authorized OfficialJohanna R ZandstraCompliance Officer · (708) 342-8137
Enumeration DateJune 1, 2005
Last NPPES UpdateSeptember 23, 2015
NPI 1174525422 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 · 0028605
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.

13259 S CENTRAL AVE, Palos Heights, IL 60463

Other Names 1

Doing Business AsProvidence Palos Heights

Other Identifiers 2

Medicare ID-Type Unspecified145681IL
Medicaid362382853002IL

Other Providers at the Same Location NPPES 3

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

Physical Medicine & Rehabilitation
13259 S CENTRAL AVE
PALOS HEIGHTS, IL 60463
Occupational Therapist
13259 S CENTRAL AVE
PALOS HEIGHTS, IL 60463
Skilled Nursing Facility
13259 S CENTRAL AVE
PALOS HEIGHTS, IL 60463

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 Providence Operations, LLC's NPI number?

The NPI number for Providence Operations, LLC is 1174525422. It was assigned to this organization in the NPPES registry on June 1, 2005. The provider is doing business as Providence Palos Heights.

Where is Providence Operations, LLC located?

Providence Operations, LLC is located at 13259 S Central Ave, Palos Heights, IL 60463. The listed phone number is (708) 597-1000.

What is Providence Operations, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Providence Operations, LLC was last updated on September 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.