DEERFIELD CROSSING NORTHBROOK
NPI 1548703085
Skilled Nursing Facility in Northbrook, IL

Active since December 01, 2016CLIA 14D2176809 · Waiver
4101 LAKE COOK RD, NORTHBROOK, IL 60062(847) 562-1770(847) 562-1909 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2021, Jan 27, 2021 (2 updates tracked since 2021).

About Deerfield Crossing Northbrook NPPES

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

DEERFIELD CROSSING NORTHBROOK (NPI 1548703085) is a healthcare organization registered as a skilled nursing facility in Northbrook, Illinois and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through December 25, 2027 and lists James Mason, President, as its authorized official.

NPPES Registry Identity

NPI1548703085
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTHBROOK NH LLC
Location Address4101 LAKE COOK RDNorthbrook, IL 60062-1112
Mailing Address4101 Lake Cook RdNorthbrook, IL 60062-1112 · (847) 562-1770 · Fax (847) 562-1909
Fax(847) 562-1909
Organization SubpartNo
Authorized OfficialJames MasonPresident · (813) 347-7425
Enumeration DateDecember 1, 2016
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
NPI 1548703085 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.
4101 LAKE COOK RD, Northbrook, IL 60062

Other Names 1

Doing Business AsDeerfield Crossing Northbrook

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 14D2176809

Deerfield Crossing Of Northbrook Northbrook N H - L L C · Northbrook, IL
Active · expires Dec 25, 2027
CLIA Number14D2176809
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorAlecia T. Wing
Laboratory Phone(847) 562-1770
Laboratory LocationDeerfield Crossing Of Northbrook Northbrook N H - L L C4101 Lake Cook Rd, Northbrook, IL 60062
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Skilled Nursing Facility
4101 LAKE COOK RD
NORTHBROOK, IL 60062
Skilled Nursing Facility
4101 LAKE COOK RD
NORTHBROOK, IL 60062
Physical Medicine & Rehabilitation
4101 LAKE COOK RD
NORTHBROOK, IL 60062
Nurse Practitioner (Family)
4101 LAKE COOK RD
NORTHBROOK, IL 60062
Physical Therapist
4101 LAKE COOK RD
NORTHBROOK, IL 60062
Skilled Nursing Facility
4101 LAKE COOK RD
NORTHBROOK, IL 60062

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 Northbrook Nh LLC's NPI number?

The NPI number for Northbrook Nh LLC is 1548703085. It was assigned to this organization in the NPPES registry on December 1, 2016. The provider is doing business as Deerfield Crossing Northbrook.

Where is Northbrook Nh LLC located?

Northbrook Nh LLC is located at 4101 Lake Cook Rd, Northbrook, IL 60062. The listed phone number is (847) 562-1770.

What is Northbrook Nh LLC's specialty?

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

Does Northbrook Nh LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2176809) is associated with this NPI, valid through December 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northbrook Nh LLC was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.