CLARK MANOR CONVALESCENT CENTER, INC
NPI 1891740460
Skilled Nursing Facility in Chicago, IL

Active since May 23, 2006CLIA 14D0889990 · Waiver
7433 N CLARK ST, CHICAGO, IL 60626(773) 338-8778(773) 764-7449 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clark Manor Convalescent Center, Inc NPPES

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

CLARK MANOR CONVALESCENT CENTER, INC (NPI 1891740460) is a healthcare organization registered as a skilled nursing facility in Chicago, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 9, 2026 and lists Jack Schnell, President, as its authorized official.

NPPES Registry Identity

NPI1891740460
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLARK MANOR CONVALESCENT CENTER, INC
Location Address7433 N CLARK STChicago, IL 60626-1619
Mailing Address7433 N Clark StChicago, IL 60626-1619 · (773) 338-8778 · Fax (773) 764-7449
Fax(773) 764-7449
Organization SubpartNo
Authorized OfficialJack SchnellPresident · (773) 338-8778
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1891740460 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 · 0038596
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.
7433 N CLARK ST, Chicago, IL 60626

Other Identifiers 1

Other001IL · Blue Cross Blue Shield

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 14D0889990

Clark Manor · Chicago, IL
Active · expires Aug 9, 2026
CLIA Number14D0889990
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorEpigenia B. Bacalla
Laboratory Phone(773) 338-8778
Laboratory LocationClark Manor7433 N Clark Street, Chicago, IL 60626
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 5

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

Social Worker (Clinical)
7433 N CLARK ST
CHICAGO, IL 60626
Skilled Nursing Facility
7433 N CLARK ST
CHICAGO, IL 60626
Social Worker (Clinical)
7433 N CLARK ST
CHICAGO, IL 60626
Occupational Therapist
7433 N CLARK ST
CHICAGO, IL 60626
Social Worker (Clinical)
7433 N CLARK ST
CHICAGO, IL 60626

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 Clark Manor Convalescent Center, Inc's NPI number?

The NPI number for Clark Manor Convalescent Center, Inc is 1891740460. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Clark Manor Convalescent Center, Inc located?

Clark Manor Convalescent Center, Inc is located at 7433 N Clark St, Chicago, IL 60626. The listed phone number is (773) 338-8778.

What is Clark Manor Convalescent Center, Inc's specialty?

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

Does Clark Manor Convalescent Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0889990) is associated with this NPI, valid through August 9, 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 Clark Manor Convalescent Center, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.