PARK RIDGE HEALTHCARE CENTER LLC
NPI 1417698986
Durable Medical Equipment & Medical Supplies in Park Ridge, IL
About Park Ridge Healthcare Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK RIDGE HEALTHCARE CENTER LLC (NPI 1417698986), doing business as Park Ridge Healthcare Center, is a healthcare organization registered as a durable medical equipment & medical supplies in Park Ridge, Illinois and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Jennifer Spector, Vp Of Revenue Cycle Management, 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 14D0668825
Park Ridge Healthcare Center · Park Ridge, ILOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Park Ridge Healthcare Center LLC's NPI number?
The NPI number for Park Ridge Healthcare Center LLC is 1417698986. It was assigned to this organization in the NPPES registry on April 6, 2022. The provider is doing business as Park Ridge Healthcare Center.
Where is Park Ridge Healthcare Center LLC located?
Park Ridge Healthcare Center LLC is located at 665 Busse Hwy, Park Ridge, IL 60068. The listed phone number is (847) 825-5517.
What is Park Ridge Healthcare Center LLC's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
Does Park Ridge Healthcare Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0668825) is associated with this NPI, valid through November 30, 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 Park Ridge Healthcare Center LLC was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Park Ridge Healthcare Center Llc · NPI 1417698986
Durable Medical Equipment & Medical Supplies organization in Park Ridge, Illinois. Organization record, active in the CMS NPPES registry since April 6, 2022.
## Identity
- **NPI:** 1417698986 (Entity type: Organization)
- **Enumerated:** April 6, 2022
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Also known as:** PARK RIDGE HEALTHCARE CENTER (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jennifer Spector, VP OF REVENUE CYCLE MANAGEMENT
## Practice location
- **Address:** 665 BUSSE HWY, Park Ridge, IL 60068-2523
- **Phone:** (847) 825-5517
## Record status
- **NPPES last updated:** September 9, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417698986) · Data from the CMS NPPES public registry.