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MONTGOMERY PLACE
NPI 1811018112
Nursing Facility/Intermediate Care Facility in Chicago, IL

Active since April 03, 2007CLIA 14D0895395 · Waiver
5550 S SHORE DR, CHICAGO, IL 60637(773) 753-4100(773) 752-0056 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Montgomery Place NPPES

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

MONTGOMERY PLACE (NPI 1811018112) is a healthcare organization registered as a nursing facility/intermediate care facility in Chicago, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Deborah E Hart, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1811018112
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameMONTGOMERY PLACE
Location Address5550 S SHORE DRChicago, IL 60637-5051
Mailing Address5550 S Shore DrChicago, IL 60637-5051 · (773) 753-4100 · Fax (773) 752-0056
Phone(773) 753-4100
Fax(773) 752-0056
Organization SubpartNo
Authorized OfficialDeborah E HartPresident/ceo · (773) 753-4096
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1811018112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in IL · 0037515
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
5550 S SHORE DR, Chicago, IL 60637
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Other Identifiers 1

Other14D0895395Clia Waiver

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 14D0895395

Montgomery Place · Chicago, IL
Active · expires Dec 7, 2026
CLIA Number14D0895395
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorDaniel Brauner
Laboratory Phone(773) 753-4096
Laboratory LocationMontgomery Place5550 South Shore Drive, Chicago, IL 60637
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 10

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

ERIN ALDERMAN DPT
Physical Therapist
5550 S SHORE DR
CHICAGO, IL 60637
Cook County (773) 753-4100
LIFECARE@HOME
Nursing Care
5550 S SHORE DR
CHICAGO, IL 60637
Cook County (773) 358-7438
NINA MONTELLO OTR
Occupational Therapist
5550 S SHORE DR
CHICAGO, IL 60637
Cook County (773) 753-4100
MISS LAURIEANN CHUTIS LCSW
Social Worker (Clinical)
5550 S SHORE DR, SUITE 1107
CHICAGO, IL 60637
Cook County (773) 753-4638
MS. KELLY ELIZABETH RUE M.S., CCC-SLP
Speech-Language Pathologist
5550 S SHORE DR
CHICAGO, IL 60637
Cook County (773) 753-4111
ALEC FRICKE DPT
Physical Therapist
5550 S SHORE DR
CHICAGO, IL 60637
Cook County (773) 753-4100
MONTGOMERY PLACE
Clinic/Center (Physical Therapy)
5550 S SHORE DR
CHICAGO, IL 60637
Cook County (773) 753-4100
MICHAEL ESPOSITO
Physical Therapy Assistant
5550 S SHORE DR
CHICAGO, IL 60637
Cook County (815) 382-8966

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 Montgomery Place's NPI number?

The NPI number for Montgomery Place is 1811018112. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Montgomery Place located?

Montgomery Place is located at 5550 S Shore Dr, Chicago, IL 60637. The listed phone number is (773) 753-4100.

What is Montgomery Place's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Montgomery Place hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0895395) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Montgomery Place was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.