THE ADMIRAL AT THE LAKE
NPI 1508922683
Nursing Facility/Intermediate Care Facility in Chicago, IL

Q: What is The Old People's Home Of The City Of Chicago's specialty?

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

Active since December 31, 2006

909 W FOSTER AVE, CHICAGO, IL 60640(773) 654-5077(773) 561-2573 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Admiral At The Lake NPPES

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

THE ADMIRAL AT THE LAKE (NPI 1508922683) is a healthcare organization registered as a nursing facility/intermediate care facility in Chicago, Illinois and active in the NPI registry since December 2006. The organization lists Glenn Brichacek, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1508922683

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameTHE OLD PEOPLE'S HOME OF THE CITY OF CHICAGO

Location Address909 W FOSTER AVEChicago, IL 60640-6481

Mailing Address1630 W Montrose AveChicago, IL 60613-1214 · (773) 561-2900 · Fax (773) 561-2573

Phone(773) 654-5077

Fax(773) 561-2573

Organization SubpartNo

Authorized OfficialGlenn BrichacekPresident/ceo · (773) 561-2900

Enumeration DateDecember 31, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1508922683 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.

909 W FOSTER AVE, Chicago, IL 60640

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Other Names 1

Doing Business AsThe Admiral At The Lake

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 14D2045111

The Admiral At The Lake · Chicago, IL

Expired · Aug 6, 2026

CLIA Number14D2045111

Laboratory TypeAssisted Living Facility

Certificate Effective DateAugust 7, 2024

Certificate Expiration DateAugust 6, 2026

Laboratory DirectorChaim Dubovick

Laboratory Phone(773) 433-1800

Laboratory LocationThe Admiral At The Lake933 W Foster Ave, Chicago, IL 60640

CLIA data matches this NPI record on: Name

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

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 The Old People's Home Of The City Of Chicago's NPI number?

The NPI number for The Old People's Home Of The City Of Chicago is 1508922683. It was assigned to this organization in the NPPES registry on December 31, 2006. The provider is doing business as The Admiral At The Lake.

Where is The Old People's Home Of The City Of Chicago located?

The Old People's Home Of The City Of Chicago is located at 909 W Foster Ave, Chicago, IL 60640. The listed phone number is (773) 654-5077.

What is The Old People's Home Of The City Of Chicago's specialty?

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

When was this NPI record last updated?

The NPPES record for The Old People's Home Of The City Of Chicago was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.