PALM GARDEN OF MATTOON, LLC
NPI 1275356768
Skilled Nursing Facility in Mattoon, IL

Active since November 04, 2024CLIA 14D0433108 · Waiver
1000 PALM AVE, MATTOON, IL 61938(217) 234-7403 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Nov 4, 2024 (2 updates tracked since 2024).

About Palm Garden Of Mattoon, Llc NPPES

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

PALM GARDEN OF MATTOON, LLC (NPI 1275356768), doing business as Palm Garden Of Mattoon,, is a healthcare organization registered as a skilled nursing facility in Mattoon, Illinois and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kevin Chankin, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1275356768
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePALM GARDEN OF MATTOON, LLC
Location Address1000 PALM AVEMattoon, IL 61938-6031
Mailing Address8153 Lawndale AveSkokie, IL 60076-3321
Organization SubpartNo
Authorized OfficialKevin ChankinAuthorized Official · (773) 945-1107
Enumeration DateNovember 4, 2024
Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
NPI 1275356768 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.
1000 PALM AVE, Mattoon, IL 61938

Other Names 1

Doing Business AsPalm Garden Of Mattoon,

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 14D0433108

Palm Garden Of Mattoon LLC · Mattoon, IL
Active · expires Aug 31, 2026
CLIA Number14D0433108
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorValerie Logsdon
Laboratory Phone(217) 234-7403
Laboratory LocationPalm Garden Of Mattoon LLC1000 Palm, Mattoon, IL 61938
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 6

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

Nurse Practitioner (Family)
1000 PALM AVE
MATTOON, IL 61938
Occupational Therapy Assistant
1000 PALM AVE
MATTOON, IL 61938
Speech-Language Pathologist
1000 PALM AVE
MATTOON, IL 61938
Skilled Nursing Facility
1000 PALM AVE
MATTOON, IL 61938
Skilled Nursing Facility
1000 PALM AVE
MATTOON, IL 61938
Nurse Practitioner (Gerontology)
1000 PALM AVE
MATTOON, IL 61938

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 Palm Garden Of Mattoon, LLC's NPI number?

The NPI number for Palm Garden Of Mattoon, LLC is 1275356768. It was assigned to this organization in the NPPES registry on November 4, 2024. The provider is doing business as Palm Garden of Mattoon,.

Where is Palm Garden Of Mattoon, LLC located?

Palm Garden Of Mattoon, LLC is located at 1000 Palm Ave, Mattoon, IL 61938. The listed phone number is (217) 234-7403.

What is Palm Garden Of Mattoon, LLC's specialty?

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

Does Palm Garden Of Mattoon, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0433108) 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 Palm Garden Of Mattoon, LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.