JOLIET SKILLED NURSING FACILITY LLC
NPI 1346124955
Skilled Nursing Facility in Joliet, IL
About Joliet Skilled Nursing Facility Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOLIET SKILLED NURSING FACILITY LLC (NPI 1346124955), doing business as Avantara Joliet, is a healthcare organization registered as a skilled nursing facility in Joliet, Illinois and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Menachem Shabat, Medicare Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 14D0646525
Joliet Skilled Nursing Facility · Joliet, ILOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOLIET, IL 60435
JOLIET, IL 60435
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 Joliet Skilled Nursing Facility LLC's NPI number?
The NPI number for Joliet Skilled Nursing Facility LLC is 1346124955. It was assigned to this organization in the NPPES registry on August 5, 2025. The provider is doing business as Avantara Joliet.
Where is Joliet Skilled Nursing Facility LLC located?
Joliet Skilled Nursing Facility LLC is located at 210 Springfield Ave, Joliet, IL 60435. The listed phone number is (815) 725-3400.
What is Joliet Skilled Nursing Facility LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Joliet Skilled Nursing Facility LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0646525) 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 Joliet Skilled Nursing Facility LLC was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.