BOULEVARD CARE CENTER
NPI 1194860577
Skilled Nursing Facility in Chicago, IL

Active since February 21, 2007
3405 S MICHIGAN AVE, CHICAGO, IL 60616(312) 791-0035 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boulevard Care Center NPPES

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

BOULEVARD CARE CENTER (NPI 1194860577) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since February 2007. The organization lists Jennie Shan-martin, Controller, as its authorized official.

NPPES Registry Identity

NPI1194860577
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBOULEVARD CARE CENTER
Location Address3405 S MICHIGAN AVEChicago, IL 60616-3819
Mailing Address8320 Skokie BlvdSkokie, IL 60077-2545 · (847) 329-1555
Organization SubpartNo
Authorized OfficialJennie Shan-martinController · (847) 329-1555
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1194860577 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 · 0032276
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.
3405 S MICHIGAN AVE, Chicago, IL 60616

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
3405 S MICHIGAN AVE
CHICAGO, IL 60616
Skilled Nursing Facility
3405 S MICHIGAN AVE
CHICAGO, IL 60616
Psychologist
3405 S MICHIGAN AVE
CHICAGO, IL 60616
Psychologist
3405 S MICHIGAN AVE
CHICAGO, IL 60616

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 Boulevard Care Center's NPI number?

The NPI number for Boulevard Care Center is 1194860577. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Boulevard Care Center located?

Boulevard Care Center is located at 3405 S Michigan Ave, Chicago, IL 60616. The listed phone number is (312) 791-0035.

What is Boulevard Care Center'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 Boulevard Care Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.