WATERFRONT TERRACE, INC.
NPI 1285611830
Skilled Nursing Facility in Chicago, IL

Active since December 26, 2005CLIA 14D0718666 · Waiver
7750 S SOUTH SHORE DR, CHICAGO, IL 60649(773) 731-4200 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waterfront Terrace, Inc. NPPES

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

WATERFRONT TERRACE, INC. (NPI 1285611830) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through April 1, 2027 and lists Marshall A Mauer, Secretary-treasurer, as its authorized official.

NPPES Registry Identity

NPI1285611830
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWATERFRONT TERRACE, INC.
Location Address7750 S SOUTH SHORE DRChicago, IL 60649-4434
Mailing Address3359 Main StSkokie, IL 60076-2432 · (847) 679-8219
Organization SubpartNo
Authorized OfficialMarshall A MauerSecretary-treasurer · (847) 679-8219
Enumeration DateDecember 26, 2005
Last NPPES UpdateNovember 28, 2011
NPI 1285611830 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 · 0028076
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.
7750 S SOUTH SHORE DR, Chicago, IL 60649

Other Identifiers 2

Medicaid=========001IL
Medicare OSCAR/certification145939IL

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 14D0718666

Waterfront Terrace · Chicago, IL
Active · expires Apr 1, 2027
CLIA Number14D0718666
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorDiania Kufta
Laboratory Phone(773) 731-4200
Laboratory LocationWaterfront Terrace7750 S Southshore Drive, Chicago, IL 60649
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

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

Skilled Nursing Facility
7750 S SOUTH SHORE DR
CHICAGO, IL 60649

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 Waterfront Terrace, Inc.'s NPI number?

The NPI number for Waterfront Terrace, Inc. is 1285611830. It was assigned to this organization in the NPPES registry on December 26, 2005.

Where is Waterfront Terrace, Inc. located?

Waterfront Terrace, Inc. is located at 7750 S South Shore Dr, Chicago, IL 60649. The listed phone number is (773) 731-4200.

What is Waterfront Terrace, Inc.'s specialty?

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

Does Waterfront Terrace, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0718666) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Waterfront Terrace, Inc. was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.