KENWOOD VILLAGE NURSING AND REHABILITATION CENTER, LLC
NPI 1740023126
Skilled Nursing Facility in Chicago, IL
About Kenwood Village Nursing And Rehabilitation Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENWOOD VILLAGE NURSING AND REHABILITATION CENTER, LLC (NPI 1740023126) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Jake Mashiach, Authorized Signatory, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 14D0428521
Kenwood Village · Chicago, ILOther Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60653
CHICAGO, IL 60653
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 Kenwood Village Nursing And Rehabilitation Center, LLC's NPI number?
The NPI number for Kenwood Village Nursing And Rehabilitation Center, LLC is 1740023126. It was assigned to this organization in the NPPES registry on June 14, 2024.
Where is Kenwood Village Nursing And Rehabilitation Center, LLC located?
Kenwood Village Nursing And Rehabilitation Center, LLC is located at 4505 S Drexel Blvd, Chicago, IL 60653. The listed phone number is (773) 285-0550.
What is Kenwood Village Nursing And Rehabilitation Center, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Kenwood Village Nursing And Rehabilitation Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0428521) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kenwood Village Nursing And Rehabilitation Center, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kenwood 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 Kenwood Village Nursing And Rehabilitation Center, LLC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.