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KANKAKEE TERRACE NURSING CENTER
NPI 1477824480
Intermediate Care Facility, Mental Illness in Bourbonnais, IL

Active since January 23, 2012
100 BELLE AIRE AVE, BOURBONNAIS, IL 60914(815) 939-0910(815) 939-0973 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2017, Aug 24, 2016 (2 updates tracked since 2016).

About Kankakee Terrace Nursing Center NPPES

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

KANKAKEE TERRACE NURSING CENTER (NPI 1477824480) is a healthcare organization registered as an intermediate care facility, mental illness in Bourbonnais, Illinois and active in the NPI registry since January 2012. The organization lists Jamie Nickle, Director, as its authorized official.

NPPES Registry Identity

NPI1477824480
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameKT CARE LLC
Location Address100 BELLE AIRE AVEBourbonnais, IL 60914-2006
Mailing Address1s443 Summit AveOakbrook Terrace, IL 60181-3989 · (847) 767-5763
Phone(815) 939-0910
Fax(815) 939-0973
Organization SubpartYesParent: Jlm Financial Healthcare, Lp
Authorized OfficialJamie NickleDirector · (630) 501-0996
Enumeration DateJanuary 23, 2012
Last NPPES UpdateJanuary 27, 20172 updates tracked since enumeration
✔ NPI 1477824480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
100 BELLE AIRE AVE, Bourbonnais, IL 60914
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Other Names 1

Doing Business AsKankakee Terrace Nursing Center

Other Identifiers 1

Medicaid0051680IL

Other Providers at the Same Location NPPES 2

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

LAUREATE KANKAKEE OPERATIONS LLC
Intermediate Care Facility, Mental Illness
100 BELLE AIRE AVE
BOURBONNAIS, IL 60914
Kankakee County (815) 939-0910
KANKAKEE TERRACE OPERATOR LLC
Nursing Facility/Intermediate Care Facility
100 BELLE AIRE AVE
BOURBONNAIS, IL 60914
Kankakee County (815) 939-0910

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 Kt Care LLC's NPI number?

The NPI number for Kt Care LLC is 1477824480. It was assigned to this organization in the NPPES registry on January 23, 2012. The provider is doing business as Kankakee Terrace Nursing Center.

Where is Kt Care LLC located?

Kt Care LLC is located at 100 Belle Aire Ave, Bourbonnais, IL 60914. The listed phone number is (815) 939-0910.

What is Kt Care LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Kt Care LLC was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.