COVENTRY VILLAGE HEALTHCARE
NPI 1477756724
Skilled Nursing Facility in Chicago, IL

Active since June 06, 2007
4055 W PETERSON AVE, SUITE 101, CHICAGO, IL 60646(773) 202-0000(773) 267-0111 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Coventry Village Healthcare NPPES

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

COVENTRY VILLAGE HEALTHCARE (NPI 1477756724) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since June 2007. The organization lists Barak Baver, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477756724
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOVENTRY VILLAGE HEALTHCARE
Location Address4055 W PETERSON AVE, SUITE 101Chicago, IL 60646-6182
Mailing Address612 W. St. Mary's StSterling, IL 60181 · (815) 626-9020
Fax(773) 267-0111
Organization SubpartNo
Authorized OfficialBarak BaverCfo · (773) 202-0000
Enumeration DateJune 6, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1477756724 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 · 0033498
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.
4055 W PETERSON AVE, Chicago, IL 60646

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.

Preferred Provider Organization
4055 W PETERSON AVE, STE. 201
CHICAGO, IL 60646
Clinic/Center (Mental Health (Including Community Mental Health Center))
4055 W PETERSON AVE, 201
CHICAGO, IL 60646
Skilled Nursing Facility
4055 W PETERSON AVE, SUITE 101
CHICAGO, IL 60646
Social Worker (Clinical)
4055 W PETERSON AVE, SUITE 201
CHICAGO, IL 60646
Psychologist (Clinical)
4055 W PETERSON AVE, SUITE 201
CHICAGO, IL 60646
Psychologist (Clinical)
4055 W PETERSON AVE, SUITE 201
CHICAGO, IL 60646

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 Coventry Village Healthcare's NPI number?

The NPI number for Coventry Village Healthcare is 1477756724. It was assigned to this organization in the NPPES registry on June 6, 2007.

Where is Coventry Village Healthcare located?

Coventry Village Healthcare is located at 4055 W Peterson Ave Suite 101, Chicago, IL 60646. The listed phone number is (773) 202-0000.

What is Coventry Village Healthcare's specialty?

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

When was this NPI record last updated?

The NPPES record for Coventry Village Healthcare was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.