LIBERTYVILLE MANOR
NPI 1841424900
Skilled Nursing Facility in Libertyville, IL

Active since May 05, 2009
1/5
Overall Rating
610 PETERSON RD, LIBERTYVILLE, IL 60048(847) 367-6100 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Libertyville Manor NPPES

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

LIBERTYVILLE MANOR (NPI 1841424900) is a healthcare organization registered as a skilled nursing facility in Libertyville, Illinois and active in the NPI registry since May 2009. The organization lists Milan Stokavich, Administrator, as its authorized official.

NPPES Registry Identity

NPI1841424900
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLIBERTYVILLE MANOR
Location Address610 PETERSON RDLibertyville, IL 60048-1014
Mailing Address1007 Jenkisson AveLake Bluff, IL 60044-1623 · (847) 234-9467
Organization SubpartNo
Authorized OfficialMilan StokavichAdministrator · (847) 367-6100
Enumeration DateMay 5, 2009
NPI 1841424900 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 · 160000723
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.
610 PETERSON RD, Libertyville, IL 60048

Other Identifiers 1

Other225200000IL · Taxonomy

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Libertyville Manor Ext Care (CMS certification number 145344), from CMS Care Compare.

Libertyville Manor Ext Care

Nursing home · Libertyville, IL
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number145344
Certified Beds174 beds13 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1978
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
165.17
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Inspections & Enforcement

Facility-Reported Incidents
3
Substantiated Complaints
3
Fines
2 totaling $275,469.65
Medicare Payment Denials
3
Total Penalties
5
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 5

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

Physical Therapist
610 PETERSON RD
LIBERTYVILLE, IL 60048
Physical Therapist
610 PETERSON RD
LIBERTYVILLE, IL 60048
Occupational Therapist
610 PETERSON RD
LIBERTYVILLE, IL 60048
Physical Therapist
610 PETERSON RD
LIBERTYVILLE, IL 60048
Skilled Nursing Facility
610 PETERSON RD, (HIGHWAY #137)
LIBERTYVILLE, IL 60048

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 Libertyville Manor's NPI number?

The NPI number for Libertyville Manor is 1841424900. It was assigned to this organization in the NPPES registry on May 5, 2009.

Where is Libertyville Manor located?

Libertyville Manor is located at 610 Peterson Rd, Libertyville, IL 60048. The listed phone number is (847) 367-6100.

What is Libertyville Manor's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Libertyville Manor a Medicare-certified nursing home?

Yes. Libertyville Manor Ext Care is a Medicare-certified nursing home with 174 certified beds.

What quality rating does Libertyville Manor have?

CMS rates Libertyville Manor Ext Care 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Libertyville Manor was last updated on May 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.