WOODBRIDGE NURSING PAVILION, LTD.
NPI 1821075474
Skilled Nursing Facility in Chicago, IL
About Woodbridge Nursing Pavilion, Ltd. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOODBRIDGE NURSING PAVILION, LTD. (NPI 1821075474) 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 March 23, 2027 and lists Marshall A Mauer, Secretary-treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 14D0662937
Woodbridge Nursing Pavilion Ltd · Chicago, ILOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Woodbridge Nursing Pavilion, Ltd.'s NPI number?
The NPI number for Woodbridge Nursing Pavilion, Ltd. is 1821075474. It was assigned to this organization in the NPPES registry on December 26, 2005.
Where is Woodbridge Nursing Pavilion, Ltd. located?
Woodbridge Nursing Pavilion, Ltd. is located at 2242 N Kedzie Blvd, Chicago, IL 60647. The listed phone number is (773) 486-7700.
What is Woodbridge Nursing Pavilion, Ltd.'s specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Woodbridge Nursing Pavilion, Ltd. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0662937) is associated with this NPI, valid through March 23, 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 Woodbridge Nursing Pavilion, Ltd. was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.