WOODBRIDGE NURSING PAVILION, LTD.
NPI 1821075474
Skilled Nursing Facility in Chicago, IL

Active since December 26, 2005CLIA 14D0662937 · Waiver
2242 N KEDZIE BLVD, CHICAGO, IL 60647(773) 486-7700(773) 486-7937 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1821075474
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWOODBRIDGE NURSING PAVILION, LTD.
Location Address2242 N KEDZIE BLVDChicago, IL 60647-2504
Mailing Address3359 Main StSkokie, IL 60076-2432 · (847) 679-8219 · Fax (847) 679-7377
Fax(773) 486-7937
Organization SubpartNo
Authorized OfficialMarshall A MauerSecretary-treasurer · (847) 679-8219
Enumeration DateDecember 26, 2005
Last NPPES UpdateNovember 23, 2011
NPI 1821075474 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 · 0034157
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.
2242 N KEDZIE BLVD, Chicago, IL 60647

Other Identifiers 2

Medicaid=========001IL
Medicare OSCAR/certification145792IL

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, IL
Active · expires Mar 23, 2027
CLIA Number14D0662937
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorPatricia Correa
Laboratory Phone(773) 486-7700
Laboratory LocationWoodbridge Nursing Pavilion Ltd2242 N Kedzie Blvd, Chicago, IL 60647
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 2

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

Speech-Language Pathologist
2242 N KEDZIE BLVD
CHICAGO, IL 60647
Skilled Nursing Facility
2242 N KEDZIE BLVD
CHICAGO, IL 60647

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.