THREE CROWNS PARK
NPI 1205291457
Skilled Nursing Facility in Evanston, IL

Active since December 15, 2015CLIA 14D0417641 · Waiver
2323 MCDANIEL AVE, EVANSTON, IL 60201(847) 328-8700 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Three Crowns Park NPPES

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

THREE CROWNS PARK (NPI 1205291457) is a healthcare organization registered as a skilled nursing facility in Evanston, Illinois and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Philip Hemmer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205291457
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHREE CROWNS PARK
Location Address2323 MCDANIEL AVEEvanston, IL 60201-2549
Mailing Address2323 Mcdaniel AveEvanston, IL 60201-2549
Organization SubpartNo
Authorized OfficialPhilip HemmerExecutive Director · (847) 328-8700
Enumeration DateDecember 15, 2015
NPI 1205291457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 0012773
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.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 5102915 (IL)
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 0012773 (IL)
2323 MCDANIEL AVE, Evanston, IL 60201

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 14D0417641

Three Crowns Park · Evanston, IL
Active · expires Aug 31, 2026
CLIA Number14D0417641
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSusan J. Morse
Laboratory Phone(847) 328-8700
Laboratory LocationThree Crowns Park2323 Mcdaniel Avenue, Evanston, IL 60201
CLIA data matches this NPI record on: Address 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.

Occupational Therapist
2323 MCDANIEL AVE
EVANSTON, IL 60201
Occupational Therapist
2323 MCDANIEL AVE
EVANSTON, IL 60201
Physical Therapy Assistant
2323 MCDANIEL AVE
EVANSTON, IL 60201
Physical Therapist
2323 MCDANIEL AVE
EVANSTON, IL 60201
Speech-Language Pathologist
2323 MCDANIEL AVE
EVANSTON, IL 60201
Occupational Therapist
2323 MCDANIEL AVE
EVANSTON, IL 60201
Occupational Therapist
2323 MCDANIEL AVE
EVANSTON, IL 60201
Skilled Nursing Facility
2323 MCDANIEL AVE
EVANSTON, IL 60201

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 Three Crowns Park's NPI number?

The NPI number for Three Crowns Park is 1205291457. It was assigned to this organization in the NPPES registry on December 15, 2015.

Where is Three Crowns Park located?

Three Crowns Park is located at 2323 Mcdaniel Ave, Evanston, IL 60201. The listed phone number is (847) 328-8700.

What is Three Crowns Park's specialty?

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

Does Three Crowns Park hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0417641) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Three Crowns Park was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.