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MADO HEALTHCARE - UPTOWN
NPI 1871580126
Skilled Nursing Facility in Chicago, IL

Active since October 03, 2005CLIA 14D0896614 · Waiver
2/5
Overall Rating
4621 N RACINE AVE, CHICAGO, IL 60640(773) 784-2300(773) 769-4621 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2019, Oct 19, 2018 (2 updates tracked since 2018).

About Mado Healthcare - Uptown NPPES

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

MADO HEALTHCARE - UPTOWN (NPI 1871580126) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Peter J Obrien, President, as its authorized official.

NPPES Registry Identity

NPI1871580126
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name4621 CORPORATION
Location Address4621 N RACINE AVEChicago, IL 60640-4905
Mailing Address405 N Wabash Ave Ste P2wChicago, IL 60611-3541 · (312) 787-9400 · Fax (312) 787-9434
Phone(773) 784-2300
Fax(773) 769-4621
Organization SubpartNo
Authorized OfficialPeter J ObrienPresident · (312) 787-9400
Enumeration DateOctober 3, 2005
Last NPPES UpdateApril 8, 20192 updates tracked since enumeration
✔ NPI 1871580126 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 · 0023770
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.
4621 N RACINE AVE, Chicago, IL 60640
Open in Google Maps ↗

Other Names 1

Doing Business AsMado Healthcare - Uptown

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 14D0896614

Mado Healthcare - Uptown · Chicago, IL
Active · expires Mar 3, 2028
CLIA Number14D0896614
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorRuth Kenny
Laboratory Phone(773) 784-2300
Laboratory LocationMado Healthcare - Uptown4621 N Racine Ave, Chicago, IL 60640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Mado Healthcare - Uptown (CMS certification number 146191), from CMS Care Compare.

Mado Healthcare - Uptown

Nursing home · Chicago, IL
2/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number146191
Certified Beds132 beds125 residents per day on average
Medicare & Medicaid Participant SinceFebruary 8, 2019
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
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.
67.33
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.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.26 · LPN 0.46 · RN 0.36
2.08 hrs per resident per day
Weekend Nurse Staffing
1.82 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
42.9%
Registered Nurse Turnover
53.8%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
5
Fines
1 totaling $22,557.80
Medicare Payment Denials
1
Total Penalties
2
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

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

MUTIATU MODUPE MOIBI
Nurse Practitioner (Psychiatric/Mental Health)
4621 N RACINE AVE
CHICAGO, IL 60640
Cook County (773) 784-2300

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 4621 Corporation's NPI number?

The NPI number for 4621 Corporation is 1871580126. It was assigned to this organization in the NPPES registry on October 3, 2005. The provider is doing business as Mado Healthcare - Uptown.

Where is 4621 Corporation located?

4621 Corporation is located at 4621 N Racine Ave, Chicago, IL 60640. The listed phone number is (773) 784-2300.

What is 4621 Corporation's specialty?

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

Does 4621 Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0896614) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is 4621 Corporation a Medicare-certified nursing home?

Yes. Mado Healthcare - Uptown is a Medicare-certified nursing home with 132 certified beds.

What quality rating does 4621 Corporation have?

CMS rates Mado Healthcare - Uptown 2 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 4621 Corporation was last updated on April 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.