JACKSON SQUARE NURSING & REHAB CENTER
NPI 1740351972
Skilled Nursing Facility in Chicago, IL
About Jackson Square Nursing & Rehab Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON SQUARE NURSING & REHAB CENTER (NPI 1740351972) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Reuven Levitin, Patient Accounts Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 4
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 14D2190210
Jackson Park Hosptial-Point Of Care Testing (poct) · 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 60644
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 Jackson Corp's NPI number?
The NPI number for Jackson Corp is 1740351972. It was assigned to this organization in the NPPES registry on November 10, 2006. The provider is doing business as Jackson Square Nursing & Rehab Center.
Where is Jackson Corp located?
Jackson Corp is located at 5130 W Jackson Blvd, Chicago, IL 60644. The listed phone number is (773) 921-8000.
What is Jackson Corp's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Jackson Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2190210) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jackson Corp was last updated on September 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.