WARREN PARK NURSING PAVILION, LTD.
NPI 1780661348
Skilled Nursing Facility in Chicago, IL

Active since December 26, 2005CLIA 14D0646659 · Waiver
6700 N DAMEN AVE, CHICAGO, IL 60645(773) 465-5000 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Warren Park Nursing Pavilion, Ltd. NPPES

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

WARREN PARK NURSING PAVILION, LTD. (NPI 1780661348) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Marshall A Mauer, Secretary-treasurer, as its authorized official.

NPPES Registry Identity

NPI1780661348
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWARREN PARK NURSING PAVILION, LTD.
Location Address6700 N DAMEN AVEChicago, IL 60645-4902
Mailing Address3359 Main StSkokie, IL 60076-2432 · (847) 679-8219
Organization SubpartNo
Authorized OfficialMarshall A MauerSecretary-treasurer · (847) 679-8219
Enumeration DateDecember 26, 2005
Last NPPES UpdateAugust 19, 2011
NPI 1780661348 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 · 0036079
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.

6700 N DAMEN AVE, Chicago, IL 60645

Other Identifiers 2

Medicare ID-Type Unspecified14-5806
Medicaid=========001IL

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 14D0646659

Warren Park Health And Living Center · Chicago, IL
Active · expires Aug 31, 2026
CLIA Number14D0646659
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJoshua Williams
Laboratory Phone(773) 465-5000
Laboratory LocationWarren Park Health And Living Center6700 N Damen Ave, Chicago, IL 60645
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
6700 N DAMEN AVE
CHICAGO, IL 60645

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780661348, enumerated as an "organization" on December 26, 2005.

The provider is located at 6700 N DAMEN AVE CHICAGO, IL 60645 and the phone number is (773) 465-5000.

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.