CENTRAL BAPTIST HOME FOR THE AGED
NPI 1841292083
Skilled Nursing Facility in Norridge, IL

Active since June 01, 2005CLIA 14D0711688 · Waiver
4747 N CANFIELD AVE, NORRIDGE, IL 60706(708) 583-8555(708) 583-8455 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Central Baptist Home For The Aged NPPES

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

CENTRAL BAPTIST HOME FOR THE AGED (NPI 1841292083) is a healthcare organization registered as a skilled nursing facility in Norridge, Illinois and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Charles Newton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1841292083
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCENTRAL BAPTIST HOME FOR THE AGED
Location Address4747 N CANFIELD AVENorridge, IL 60706-4480
Mailing Address4747 N Canfield AveNorridge, IL 60706-4480 · (708) 583-8555 · Fax (708) 583-8455
Fax(708) 583-8455
Organization SubpartNo
Authorized OfficialCharles NewtonExecutive Director · (708) 583-8500
Enumeration DateJune 1, 2005
Last NPPES UpdateOctober 3, 2011
NPI 1841292083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 0007435
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 ListedAssisted Living FacilityTaxonomy 310400000X · License 5100364 (IL)
4747 N CANFIELD AVE, Norridge, IL 60706

Other Names 1

Former Legal Business NameCentral Baptist Home For The Aged

Other Identifiers 1

Medicare ID-Type Unspecified145853IL

Accepted Insurance

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 14D0711688

Central Baptist Village · Norridge, IL
Active · expires Aug 31, 2026
CLIA Number14D0711688
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKevin Koo
Laboratory Phone(708) 452-3700
Laboratory LocationCentral Baptist Village4747 N Canfield Ave, Norridge, IL 60706
CLIA data matches this NPI record on: Address
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.

Speech-Language Pathologist
4747 N CANFIELD AVE
NORRIDGE, IL 60706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841292083, enumerated as an "organization" on June 01, 2005.

The provider is located at 4747 N CANFIELD AVE NORRIDGE, IL 60706 and the phone number is (708) 583-8555.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.