CHILDREN'S HABILITATION CENTER
NPI 1366055899
Nursing Facility/Intermediate Care Facility in Harvey, IL

Q: What is Children's Habilitation Center's NPI number?

The NPI number for Children's Habilitation Center is 1366055899. It was assigned to this organization in the NPPES registry on August 25, 2020.

Q: What is Children's Habilitation Center's specialty?

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

Active since August 25, 2020CLIA 14D2207869 · Waiver

121 W 154TH ST, HARVEY, IL 60426(708) 596-2220(708) 596-2258 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Children's Habilitation Center NPPES

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

CHILDREN'S HABILITATION CENTER (NPI 1366055899) is a healthcare organization registered as a nursing facility/intermediate care facility in Harvey, Illinois and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Jennie Shanmartin, Controller, as its authorized official.

NPPES Registry Identity

NPI1366055899

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameCHILDREN'S HABILITATION CENTER

Location Address121 W 154TH STHarvey, IL 60426-3552

Mailing Address121 W 154th StHarvey, IL 60426-3552 · (708) 596-2220 · Fax (708) 596-2258

Phone(708) 596-2220

Fax(708) 596-2258

Organization SubpartNo

Authorized OfficialJennie ShanmartinController · (708) 722-2946

Enumeration DateAugust 25, 2020

NPPES CertifiedAugust 25, 2020

✔ NPI 1366055899 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

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.

121 W 154TH ST, Harvey, IL 60426

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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 14D2207869

Children's Habilitation Center · Harvey, IL

Active · expires Dec 30, 2026

CLIA Number14D2207869

Laboratory TypeMc/Dd Facility

Certificate Effective DateDecember 31, 2024

Certificate Expiration DateDecember 30, 2026

Laboratory DirectorMattisha Bates

Laboratory Phone(708) 596-2220

Laboratory LocationChildren's Habilitation Center121 W 154th St, Harvey, IL 60426

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MISS ANITA A. STEWART M.D.

Pediatrics (Hospice and Palliative Medicine)