JOLIET SKILLED NURSING FACILITY LLC
NPI 1346124955
Skilled Nursing Facility in Joliet, IL

Active since August 05, 2025CLIA 14D0646525 · Waiver
210 SPRINGFIELD AVE, JOLIET, IL 60435(815) 725-3400 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2025, Aug 5, 2025 (2 updates tracked since 2025).

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

NPI1346124955
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJOLIET SKILLED NURSING FACILITY LLC
Location Address210 SPRINGFIELD AVEJoliet, IL 60435-6589
Mailing Address3450 Oakton StSkokie, IL 60076-2951 · (773) 844-8880
Organization SubpartNo
Authorized OfficialMenachem ShabatMedicare Authorized Official · (773) 848-4949
Enumeration DateAugust 5, 2025
Last NPPES UpdateFebruary 27, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
NPI 1346124955 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.
210 SPRINGFIELD AVE, Joliet, IL 60435

Other Names 1

Doing Business AsAvantara Joliet

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, IL
Active · expires Aug 31, 2026
CLIA Number14D0646525
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChristina Miller
Laboratory Phone(815) 725-3400
Laboratory LocationJoliet Skilled Nursing Facility210 N Springfield Ave, Joliet, IL 60435
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 6

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

Physical Medicine & Rehabilitation
210 SPRINGFIELD AVE
JOLIET, IL 60435
Skilled Nursing Facility
210 SPRINGFIELD AVE
JOLIET, IL 60435
Physical Therapy Assistant
210 SPRINGFIELD AVE
JOLIET, IL 60435
Skilled Nursing Facility
210 SPRINGFIELD AVE
JOLIET, IL 60435
Skilled Nursing Facility
210 SPRINGFIELD AVE
JOLIET, IL 60435
Skilled Nursing Facility
210 SPRINGFIELD AVE
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.