FULLERTON SKILLED NURSING FACILITY LLC
NPI 1386332906
Skilled Nursing Facility in Chicago, IL

Active since May 01, 2023
2/5
Overall Rating
1366 W FULLERTON AVE, CHICAGO, IL 60614(773) 248-9300(773) 935-0036 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fullerton Skilled Nursing Facility Llc NPPES

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

FULLERTON SKILLED NURSING FACILITY LLC (NPI 1386332906), doing business as Avantara Lincoln Park, is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since May 2023. The organization lists Menachem Shabat, Coo, as its authorized official.

NPPES Registry Identity

NPI1386332906
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFULLERTON SKILLED NURSING FACILITY LLC
Location Address1366 W FULLERTON AVEChicago, IL 60614-2129
Mailing Address3450 Oakton StSkokie, IL 60076-2951 · (847) 679-9797 · Fax (847) 679-1126
Fax(773) 935-0036
Organization SubpartNo
Authorized OfficialMenachem ShabatCoo · (773) 248-9300
Enumeration DateMay 1, 2023
NPPES CertifiedMay 1, 2023
NPI 1386332906 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.

1366 W FULLERTON AVE, Chicago, IL 60614

Other Names 1

Doing Business AsAvantara Lincoln Park

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Avantara Lincoln Park (CMS certification number 145510), from CMS Care Compare.

Avantara Lincoln Park

Nursing home · Chicago, IL
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number145510
Certified Beds248 beds210 residents per day on average
Medicare & Medicaid Participant SinceSeptember 25, 1984
Resident & Family CouncilResident council
Automatic sprinkler system Ownership changed in last 12 months

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
158
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 1.53 · LPN 0.74 · RN 1.03
3.3 hrs per resident per day
Weekend Nurse Staffing
2.77 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
42.2%
Registered Nurse Turnover
41.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
17
Substantiated Complaints
33
Fines
3 totaling $87,985.32
Medicare Payment Denials
0
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 19

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

Skilled Nursing Facility
1366 W FULLERTON AVE
CHICAGO, IL 60614
Occupational Therapist
1366 W FULLERTON AVE
CHICAGO, IL 60614
Occupational Therapist
1366 W FULLERTON AVE
CHICAGO, IL 60614
Occupational Therapy Assistant
1366 W FULLERTON AVE
CHICAGO, IL 60614
Physical Therapist
1366 W FULLERTON AVE
CHICAGO, IL 60614
Speech-Language Pathologist
1366 W FULLERTON AVE
CHICAGO, IL 60614
Skilled Nursing Facility
1366 W FULLERTON AVE
CHICAGO, IL 60614
Nursing Facility/Intermediate Care Facility
1366 W FULLERTON AVE
CHICAGO, IL 60614

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 Fullerton Skilled Nursing Facility LLC's NPI number?

The NPI number for Fullerton Skilled Nursing Facility LLC is 1386332906. It was assigned to this organization in the NPPES registry on May 1, 2023. The provider is doing business as Avantara Lincoln Park.

Where is Fullerton Skilled Nursing Facility LLC located?

Fullerton Skilled Nursing Facility LLC is located at 1366 W Fullerton Ave, Chicago, IL 60614. The listed phone number is (773) 248-9300.

What is Fullerton Skilled Nursing Facility LLC's specialty?

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

Is Fullerton Skilled Nursing Facility LLC a Medicare-certified nursing home?

Yes. Avantara Lincoln Park is a Medicare-certified nursing home with 248 certified beds.

What quality rating does Fullerton Skilled Nursing Facility LLC have?

CMS rates Avantara Lincoln Park 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Fullerton Skilled Nursing Facility LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Fullerton Skilled Nursing Facility LLC 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 Fullerton Skilled Nursing Facility LLC was last updated on May 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.