STONEBRIDGE OF GURNEE, LLC
NPI 1881103646
Assisted Living Facility in Gurnee, IL

Q: What is Stonebridge Of Gurnee, LLC's NPI number?

The NPI number for Stonebridge Of Gurnee, LLC is 1881103646. It was assigned to this organization in the NPPES registry on September 25, 2017.

Q: What is Stonebridge Of Gurnee, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since September 25, 2017CLIA 14D2206857 · Waiver

5980 WASHINGTON ST, GURNEE, IL 60031(847) 596-3211 Get Directions Write a Review

NPPES record last updated: September 25, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Stonebridge Of Gurnee, Llc NPPES

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

STONEBRIDGE OF GURNEE, LLC (NPI 1881103646) is a healthcare organization registered as an assisted living facility in Gurnee, Illinois and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Laura Kelly, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1881103646

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSTONEBRIDGE OF GURNEE, LLC

Location Address5980 WASHINGTON STGurnee, IL 60031-5900

Mailing Address5980 Washington StGurnee, IL 60031-5900

Phone(847) 596-3211

Organization SubpartNo

Authorized OfficialLaura KellyExecutive Director · (847) 596-3211

Enumeration DateSeptember 25, 2017

✔ NPI 1881103646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

5980 WASHINGTON ST, Gurnee, IL 60031

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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 14D2206857

Stonebridge Of Gurnee · Gurnee, IL

Active · expires Dec 21, 2026

CLIA Number14D2206857

Laboratory TypeSupportive Living Fac

Certificate Effective DateDecember 22, 2024

Certificate Expiration DateDecember 21, 2026

Laboratory DirectorMichael P. Schulkins

Laboratory Phone(847) 596-3211

Laboratory LocationStonebridge Of Gurnee5980 Washington St, Gurnee, IL 60031

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Stonebridge Of Gurnee, LLC's NPI number?

The NPI number for Stonebridge Of Gurnee, LLC is 1881103646. It was assigned to this organization in the NPPES registry on September 25, 2017.

Where is Stonebridge Of Gurnee, LLC located?

Stonebridge Of Gurnee, LLC is located at 5980 Washington St, Gurnee, IL 60031. The listed phone number is (847) 596-3211.

What is Stonebridge Of Gurnee, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Stonebridge Of Gurnee, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2206857) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stonebridge Of Gurnee, LLC was last updated on September 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.