SMITH VILLAGE
NPI 1609843754
Skilled Nursing Facility in Chicago, IL

Active since March 07, 2006CLIA 14D0915576 · Waiver
3/5
Overall Rating
11308 S OAKLEY AVE, CHICAGO, IL 60643(773) 474-7300(773) 474-7342 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smith Village NPPES

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

SMITH VILLAGE (NPI 1609843754) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists Raymond Marneris, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609843754
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWASHINGTON AND JANE SMITH COMMUNITY BEVERLY
Location Address11308 S OAKLEY AVEChicago, IL 60643-4112
Mailing Address2320 W 113th PlChicago, IL 60643-4117 · (773) 474-7300 · Fax (773) 474-7342
Fax(773) 474-7342
Organization SubpartNo
Authorized OfficialRaymond MarnerisCfo · (773) 474-7350
Enumeration DateMarch 7, 2006
Last NPPES UpdateOctober 2, 2013
NPI 1609843754 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 · 0015032
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.
11308 S OAKLEY AVE, Chicago, IL 60643

Other Names 1

Doing Business AsSmith Village

Other Identifiers 2

Medicaid000015032IL
Medicare ID-Type Unspecified145904IL

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 14D0915576

Washington And Jane Smith Community · Chicago, IL
Active · expires May 30, 2028
CLIA Number14D0915576
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorMarti A. Jatis
Laboratory Phone(773) 474-7314
Laboratory LocationWashington And Jane Smith Community2340 W 113th Place, Chicago, IL 60643
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Smith Village (CMS certification number 145904), from CMS Care Compare.

Smith Village

Nursing home · Chicago, IL
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number145904
Certified Beds93 beds70 residents per day on average
Medicare & Medicaid Participant SinceSeptember 16, 1996
Resident & Family CouncilResident and family councils
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
85.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.29 · LPN 0.57 · RN 1.24
5.1 hrs per resident per day
Weekend Nurse Staffing
4.64 hrs per resident per day
Physical Therapist Staffing
0.13 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
55.1%
Registered Nurse Turnover
52.2%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
8
Substantiated Complaints
1
Fines
5 totaling $177,464.22
Medicare Payment Denials
2
Total Penalties
7
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Washington And Jane Smith Community Beverly's NPI number?

The NPI number for Washington And Jane Smith Community Beverly is 1609843754. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Smith Village.

Where is Washington And Jane Smith Community Beverly located?

Washington And Jane Smith Community Beverly is located at 11308 S Oakley Ave, Chicago, IL 60643. The listed phone number is (773) 474-7300.

What is Washington And Jane Smith Community Beverly's specialty?

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

Does Washington And Jane Smith Community Beverly hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0915576) is associated with this NPI, valid through May 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Washington And Jane Smith Community Beverly a Medicare-certified nursing home?

Yes. Smith Village is a Medicare-certified nursing home with 93 certified beds.

What quality rating does Washington And Jane Smith Community Beverly have?

CMS rates Smith Village 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Washington And Jane Smith Community Beverly was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.