KANKAKEE TERRACE OPERATOR LLC
NPI 1326128554
Nursing Facility/Intermediate Care Facility in Bourbonnais, IL

Active since October 16, 2006
100 BELLE AIRE AVE, BOURBONNAIS, IL 60914(815) 939-0910(815) 939-0973 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kankakee Terrace Operator Llc NPPES

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

KANKAKEE TERRACE OPERATOR LLC (NPI 1326128554), doing business as Kankakee Terrace, is a healthcare organization registered as a nursing facility/intermediate care facility in Bourbonnais, Illinois and active in the NPI registry since October 2006. The organization lists Avrum Weinfeld, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326128554
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameKANKAKEE TERRACE OPERATOR LLC
Location Address100 BELLE AIRE AVEBourbonnais, IL 60914-2006
Mailing Address6865 N Lincoln AveLincolnwood, IL 60712-4611 · (847) 674-5795 · Fax (847) 674-5794
Fax(815) 939-0973
Organization SubpartNo
Authorized OfficialAvrum WeinfeldCfo · (847) 674-5795
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1326128554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License Licensed in IL · 0022897
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
100 BELLE AIRE AVE, Bourbonnais, IL 60914

Other Names 1

Former Legal Business NameKankakee Terrace

Other Identifiers 1

Medicaid362883311001IL

Other Providers at the Same Location NPPES 2

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

Intermediate Care Facility, Mental Illness
100 BELLE AIRE AVE
BOURBONNAIS, IL 60914
Intermediate Care Facility, Mental Illness
100 BELLE AIRE AVE
BOURBONNAIS, IL 60914

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 Kankakee Terrace Operator LLC's NPI number?

The NPI number for Kankakee Terrace Operator LLC is 1326128554. It was assigned to this organization in the NPPES registry on October 16, 2006. The provider was formerly known as Kankakee Terrace.

Where is Kankakee Terrace Operator LLC located?

Kankakee Terrace Operator LLC is located at 100 Belle Aire Ave, Bourbonnais, IL 60914. The listed phone number is (815) 939-0910.

What is Kankakee Terrace Operator LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Kankakee Terrace Operator LLC 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.