LITTLE VILLAGE NURSING AND REHABILITATION CENTER, LLC
NPI 1609396167
Skilled Nursing Facility in Chicago, IL

Active since June 26, 2017CLIA 14D2193903 · Waiver
2320 S LAWNDALE AVE, CHICAGO, IL 60623(773) 522-0400 Get Directions Write a Review

NPPES record last updated: December 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2017, Jun 26, 2017 (2 updates tracked since 2017).

About Little Village Nursing And Rehabilitation Center, Llc NPPES

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

LITTLE VILLAGE NURSING AND REHABILITATION CENTER, LLC (NPI 1609396167) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists David Mashiach, Manager, as its authorized official.

NPPES Registry Identity

NPI1609396167
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLITTLE VILLAGE NURSING AND REHABILITATION CENTER, LLC
Location Address2320 S LAWNDALE AVEChicago, IL 60623-3154
Mailing Address2320 S Lawndale AveChicago, IL 60623-3154
Organization SubpartNo
Authorized OfficialDavid MashiachManager · (773) 522-0400
Enumeration DateJune 26, 2017
Last NPPES UpdateDecember 27, 20172 updates tracked since enumeration
NPI 1609396167 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 · 54643
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.
2320 S LAWNDALE AVE, Chicago, IL 60623

Accepted Insurance

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 14D2193903

Little Village Nursing & Rehabilitation · Chicago, IL
Active · expires Sep 24, 2026
CLIA Number14D2193903
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorJennifer M. Davey
Laboratory Phone(773) 522-0400
Laboratory LocationLittle Village Nursing & Rehabilitation2320 S Lawndale Ave, Chicago, IL 60623
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 2

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

Skilled Nursing Facility
2320 S LAWNDALE AVE
CHICAGO, IL 60623
Skilled Nursing Facility
2320 S LAWNDALE AVE
CHICAGO, IL 60623

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 Little Village Nursing And Rehabilitation Center, LLC's NPI number?

The NPI number for Little Village Nursing And Rehabilitation Center, LLC is 1609396167. It was assigned to this organization in the NPPES registry on June 26, 2017.

Where is Little Village Nursing And Rehabilitation Center, LLC located?

Little Village Nursing And Rehabilitation Center, LLC is located at 2320 S Lawndale Ave, Chicago, IL 60623. The listed phone number is (773) 522-0400.

What is Little Village Nursing And Rehabilitation Center, LLC's specialty?

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

Does Little Village Nursing And Rehabilitation Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2193903) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Little Village Nursing And Rehabilitation Center, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Little Village Nursing And Rehabilitation Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Little Village Nursing And Rehabilitation Center, LLC was last updated on December 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.