PETERSON PARK ASSOCIATES, LLC
NPI 1649276080
Skilled Nursing Facility in Chicago, IL

Active since June 21, 2005CLIA 14D0861302 · Waiver
1/5
Overall Rating
6141 N PULASKI RD, CHICAGO, IL 60646(773) 478-2000 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Peterson Park Associates, Llc NPPES

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

PETERSON PARK ASSOCIATES, LLC (NPI 1649276080) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Menachem Shabat, Administrator, as its authorized official.

NPPES Registry Identity

NPI1649276080
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETERSON PARK ASSOCIATES, LLC
Location Address6141 N PULASKI RDChicago, IL 60646-5215
Mailing Address6141 N Pulaski RdChicago, IL 60646-5215
Organization SubpartNo
Authorized OfficialMenachem ShabatAdministrator · (773) 478-2000
Enumeration DateJune 21, 2005
Last NPPES UpdateMay 27, 20222 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
NPI 1649276080 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 · 0024463
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.
6141 N PULASKI RD, Chicago, IL 60646

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 14D0861302

Peterson Park · Chicago, IL
Active · expires Aug 31, 2026
CLIA Number14D0861302
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn Hurley
Laboratory Phone(773) 478-2000
Laboratory LocationPeterson Park6141 N Pulaski, Chicago, IL 60646
CLIA data matches this NPI record on: Address Name Phone
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 Peterson Park Health Care Ctr (CMS certification number 145838), from CMS Care Compare.

Peterson Park Health Care Ctr

Nursing home · Chicago, IL
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number145838
Certified Beds196 beds176 residents per day on average
Medicare & Medicaid Participant SinceAugust 1, 1995
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
118.33
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 2.08 · LPN 0.69 · RN 0.57
3.34 hrs per resident per day
Weekend Nurse Staffing
3 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52.2%
Registered Nurse Turnover
37.5%
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
2
Substantiated Complaints
21
Infection-Control Citations
2
Fines
3 totaling $64,397.03
Medicare Payment Denials
1
Total Penalties
4
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 Peterson Park Associates, LLC's NPI number?

The NPI number for Peterson Park Associates, LLC is 1649276080. It was assigned to this organization in the NPPES registry on June 21, 2005.

Where is Peterson Park Associates, LLC located?

Peterson Park Associates, LLC is located at 6141 N Pulaski Rd, Chicago, IL 60646. The listed phone number is (773) 478-2000.

What is Peterson Park Associates, LLC's specialty?

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

Does Peterson Park Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0861302) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Peterson Park Associates, LLC a Medicare-certified nursing home?

Yes. Peterson Park Health Care Ctr is a Medicare-certified nursing home with 196 certified beds.

What quality rating does Peterson Park Associates, LLC have?

CMS rates Peterson Park Health Care Ctr 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Peterson Park Associates, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Peterson Park Associates, 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 Peterson Park Associates, LLC was last updated on May 27, 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.