LAKE FOREST PLACE, LLC
NPI 1336504117
Skilled Nursing Facility in Lake Forest, IL

Active since December 22, 2015
1100 PEMBRIDGE DR, LAKE FOREST, IL 60045(847) 604-6700(847) 979-3969 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2021, Dec 22, 2015 (2 updates tracked since 2015).

About Lake Forest Place, Llc NPPES

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

LAKE FOREST PLACE, LLC (NPI 1336504117) is a healthcare organization registered as a skilled nursing facility in Lake Forest, Illinois and active in the NPI registry since December 2015. The organization lists Mark Havrilka, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1336504117
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKE FOREST PLACE, LLC
Location Address1100 PEMBRIDGE DRLake Forest, IL 60045-4228
Mailing Address1100 Pembridge DrLake Forest, IL 60045-4228 · (847) 437-6700 · Fax (847) 316-8723
Fax(847) 979-3969
Organization SubpartNo
Authorized OfficialMark HavrilkaChief Financial Officer · (847) 979-3904
Enumeration DateDecember 22, 2015
Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
NPI 1336504117 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.
1100 PEMBRIDGE DR, Lake Forest, IL 60045

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 (Adult Health)
1100 PEMBRIDGE DR
LAKE FOREST, IL 60045
Nurse Practitioner
1100 PEMBRIDGE DR
LAKE FOREST, IL 60045
Physical Therapist (Geriatrics)
1100 PEMBRIDGE DR
LAKE FOREST, IL 60045
Occupational Therapist
1100 PEMBRIDGE DR
LAKE FOREST, IL 60045
Clinic/Center (Medical Specialty)
1100 PEMBRIDGE DR
LAKE FOREST, IL 60045
Speech-Language Pathologist
1100 PEMBRIDGE DR
LAKE FOREST, IL 60045

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 Lake Forest Place, LLC's NPI number?

The NPI number for Lake Forest Place, LLC is 1336504117. It was assigned to this organization in the NPPES registry on December 22, 2015.

Where is Lake Forest Place, LLC located?

Lake Forest Place, LLC is located at 1100 Pembridge Dr, Lake Forest, IL 60045. The listed phone number is (847) 604-6700.

What is Lake Forest Place, LLC'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 Lake Forest Place, LLC was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.