BRONZEVILLE PARK SKILLED NURSING & LIVING CENTER
NPI 1770654907
Skilled Nursing Facility in Chicago, IL

Active since November 10, 2006
3400 S INDIANA AVE, CHICAGO, IL 60616(312) 842-5000(312) 842-3790 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bronzeville Park Skilled Nursing & Living Center NPPES

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

BRONZEVILLE PARK SKILLED NURSING & LIVING CENTER (NPI 1770654907) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since November 2006. The organization lists Reuven Levitin, Patient Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1770654907
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCHEVY CHASE CORP
Location Address3400 S INDIANA AVEChicago, IL 60616-3841
Mailing Address7257 N Lincoln AveLincolnwood, IL 60712-1810 · (847) 933-2600 · Fax (847) 933-0686
Fax(312) 842-3790
Organization SubpartNo
Authorized OfficialReuven LevitinPatient Accounts Manager · (847) 745-6240
Enumeration DateNovember 10, 2006
Last NPPES UpdateSeptember 14, 2009
NPI 1770654907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X · License 5003300001 (IL)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 5003300001 (IL)
3400 S INDIANA AVE, Chicago, IL 60616

Other Names 1

Doing Business AsBronzeville Park Skilled Nursing & Living Center

Other Identifiers 5

Medicaid=========002IL
Medicare PIN145337IL
Medicare NSC5003300001IL
Medicaid=========001IL
Medicare OSCAR/certification145337IL

Other Providers at the Same Location NPPES 14

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

Occupational Therapy Assistant
3400 S INDIANA AVE
CHICAGO, IL 60616
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
3400 S INDIANA AVE
CHICAGO, IL 60616
Occupational Therapist
3400 S INDIANA AVE
CHICAGO, IL 60616
Skilled Nursing Facility
3400 S INDIANA AVE
CHICAGO, IL 60616
Physical Therapist
3400 S INDIANA AVE
CHICAGO, IL 60616
Occupational Therapist
3400 S INDIANA AVE
CHICAGO, IL 60616
Occupational Therapist
3400 S INDIANA AVE
CHICAGO, IL 60616
Physical Therapist
3400 S INDIANA AVE
CHICAGO, IL 60616

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770654907, enumerated as an "organization" on November 10, 2006.

The provider is located at 3400 S INDIANA AVE CHICAGO, IL 60616 and the phone number is (312) 842-5000.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.