SOUTH ELGIN LIVING & REHAB CENTER LLC
NPI 1619796356
Nursing Facility/Intermediate Care Facility in South Elgin, IL

Q: What is South Elgin Living & Rehab Center LLC's specialty?

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

Active since October 09, 2024CLIA 14D0416668 · Waiver

746 W SPRING ST, SOUTH ELGIN, IL 60177(847) 679-2121 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Elgin Living & Rehab Center Llc NPPES

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

SOUTH ELGIN LIVING & REHAB CENTER LLC (NPI 1619796356) is a healthcare organization registered as a nursing facility/intermediate care facility in South Elgin, Illinois and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ephraim Braunstein, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1619796356

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameSOUTH ELGIN LIVING & REHAB CENTER LLC

Location Address746 W SPRING STSouth Elgin, IL 60177-1424

Mailing Address3737 W Arthur AveLincolnwood, IL 60712-4029 · (847) 679-2121

Phone(847) 679-2121

Organization SubpartNo

Authorized OfficialEphraim BraunsteinAuthorized Official · (847) 679-2121

Enumeration DateOctober 9, 2024

NPPES CertifiedOctober 9, 2024

✔ NPI 1619796356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedSkilled Nursing FacilityTaxonomy 314000000X

746 W SPRING ST, South Elgin, IL 60177

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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 14D0416668

South Elgin Living & Rehab Center LLC · South Elgin, IL

Active · expires Aug 31, 2026

CLIA Number14D0416668

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorAharon Z. Diena

Laboratory Phone(847) 697-0565

Laboratory LocationSouth Elgin Living & Rehab Center LLC746 W Spring St, South Elgin, IL 60177

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 5

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

SENIOR LIVING PROPERTIES

Health Maintenance Organization