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PRAIRIE VILLAGE HEALTHCARE CENTER INC
NPI 1356486732
Skilled Nursing Facility in Jacksonville, IL

Active since February 21, 2007CLIA 14D0680339 · Waiver
3/5
Overall Rating
1024 W WALNUT ST, JACKSONVILLE, IL 62650(217) 245-5175(217) 243-4276 Get Directions Write a Review

NPPES record last updated: February 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prairie Village Healthcare Center Inc NPPES

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

PRAIRIE VILLAGE HEALTHCARE CENTER INC (NPI 1356486732) is a healthcare organization registered as a skilled nursing facility in Jacksonville, Illinois and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Jennie Shanmartin, Medicare Billing, as its authorized official.

NPPES Registry Identity

NPI1356486732
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRAIRIE VILLAGE HEALTHCARE CENTER INC
Location Address1024 W WALNUT STJacksonville, IL 62650-1251
Mailing Address2201 Main StEvanston, IL 60202-1519 · (847) 905-4000 · Fax (847) 905-4040
Phone(217) 245-5175
Fax(217) 243-4276
Organization SubpartNo
Authorized OfficialJennie ShanmartinMedicare Billing · (847) 905-4026
Enumeration DateFebruary 21, 2007
Last NPPES UpdateFebruary 9, 2010
✔ NPI 1356486732 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 · 0042671
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.
1024 W WALNUT ST, Jacksonville, IL 62650
Open in Google Maps ↗

Other Identifiers 2

Medicaid=========001IL
Medicare ID-Type Unspecified145294IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D0680339

Prairie Village Healthcare · Jacksonville, IL
Active · expires Aug 20, 2026
CLIA Number14D0680339
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorJerri S. Springer
Laboratory Phone(217) 245-5175
Laboratory LocationPrairie Village Healthcare1024 W Walnut St, Jacksonville, IL 62650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Prairie Village Healthcare Ctr (CMS certification number 145294), from CMS Care Compare.

Prairie Village Healthcare Ctr

Nursing home · Jacksonville, IL
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number145294
Certified Beds126 beds48 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 1975
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
38
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.68 · LPN 0.87 · RN 0.43
2.98 hrs per resident per day
Weekend Nurse Staffing
2.52 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
58.3%
Registered Nurse Turnover
66.7%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Prairie Village Healthcare Center Inc's NPI number?

The NPI number for Prairie Village Healthcare Center Inc is 1356486732. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Prairie Village Healthcare Center Inc located?

Prairie Village Healthcare Center Inc is located at 1024 W Walnut St, Jacksonville, IL 62650. The listed phone number is (217) 245-5175.

What is Prairie Village Healthcare Center Inc's specialty?

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

Does Prairie Village Healthcare Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0680339) is associated with this NPI, valid through August 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Prairie Village Healthcare Center Inc a Medicare-certified nursing home?

Yes. Prairie Village Healthcare Ctr is a Medicare-certified nursing home with 126 certified beds.

What quality rating does Prairie Village Healthcare Center Inc have?

CMS rates Prairie Village Healthcare Ctr 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Prairie Village Healthcare Center Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Prairie Village Healthcare Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prairie Village Healthcare Center Inc was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.