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BALMORAL NURSING HOME
NPI 1730183203
Skilled Nursing Facility in Chicago, IL

Active since June 12, 2005CLIA 14D0879083 · Waiver
2055 W BALMORAL AVE, CHICAGO, IL 60625(773) 561-8661(773) 561-9376 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, Aug 8, 2019 (2 updates tracked since 2019).

About Balmoral Nursing Home NPPES

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

BALMORAL NURSING HOME (NPI 1730183203) 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 November 9, 2027 and lists Yonathan M Stern, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730183203
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBALMORAL HOME INC
Location Address2055 W BALMORAL AVEChicago, IL 60625-1001
Mailing Address6500 N Hamlin AveLincolnwood, IL 60712-3904 · (847) 679-7484 · Fax (847) 679-7484
Phone(773) 561-8661
Fax(773) 561-9376
Organization SubpartNo
Authorized OfficialYonathan M SternAdministrator · (773) 561-8661
Enumeration DateJune 12, 2005
Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
✔ NPI 1730183203 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 · 000039966
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.
2055 W BALMORAL AVE, Chicago, IL 60625
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Other Names 1

Doing Business AsBalmoral Nursing Home

Other Identifiers 1

Other1012IL · Bluecross Blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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 14D0879083

Balmoral Nursing Home · Chicago, IL
Active · expires Nov 9, 2027
CLIA Number14D0879083
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorLea Joyce S. De Jesus
Laboratory Phone(773) 561-8661
Laboratory LocationBalmoral Nursing Home2055 W Balmoral, Chicago, IL 60625
CLIA data matches this NPI record on: Address Name Phone
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.

LINDSEY NELSON OTR/L
Occupational Therapist
2055 W BALMORAL AVE
CHICAGO, IL 60625
Cook County (773) 561-8661
RACHEL THERESA STEVENSON
Speech-Language Pathologist
2055 W BALMORAL AVE
CHICAGO, IL 60625
Cook County (773) 561-8661
LESLIE LYNN PH.D.
Psychologist (Clinical)
2055 W BALMORAL AVE
CHICAGO, IL 60625
Cook County (773) 561-8661
BALMORAL HOME INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2055 W BALMORAL AVE
CHICAGO, IL 60625
Cook County (773) 561-8661
JOHN MCDERMOTT
Physical Therapist
2055 W BALMORAL AVE
CHICAGO, IL 60625
Cook County (773) 561-8661

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 Balmoral Home Inc's NPI number?

The NPI number for Balmoral Home Inc is 1730183203. It was assigned to this organization in the NPPES registry on June 12, 2005. The provider is doing business as Balmoral Nursing Home.

Where is Balmoral Home Inc located?

Balmoral Home Inc is located at 2055 W Balmoral Ave, Chicago, IL 60625. The listed phone number is (773) 561-8661.

What is Balmoral Home Inc's specialty?

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

Does Balmoral Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0879083) is associated with this NPI, valid through November 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Balmoral Home Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Balmoral Home Inc 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 Balmoral Home Inc was last updated on January 13, 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.