LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC.
NPI 1952390585
Skilled Nursing Facility in Libertyville, IL

Active since October 17, 2005
610 PETERSON RD, (HIGHWAY #137), LIBERTYVILLE, IL 60048(847) 367-6100(847) 680-2030 Get Directions Write a Review

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Libertyville Manor Extended Care Facility, Inc. NPPES

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

LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC. (NPI 1952390585) is a healthcare organization registered as a skilled nursing facility in Libertyville, Illinois and active in the NPI registry since October 2005. The organization lists Gina Gamble, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1952390585
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC.
Location Address610 PETERSON RD, (HIGHWAY #137)Libertyville, IL 60048-1014
Mailing Address610 Peterson Rd, (highway #137)Libertyville, IL 60048-1014 · (847) 367-6100 · Fax (847) 680-2030
Fax(847) 680-2030
Organization SubpartNo
Authorized OfficialGina GambleOffice Manager · (847) 367-6100
Enumeration DateOctober 17, 2005
Last NPPES UpdateMay 7, 2009
NPI 1952390585 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 · 0017780
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

Medicare OSCAR/certification14-5344IL

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
Skilled Nursing Facility
610 PETERSON RD
LIBERTYVILLE, IL 60048
Physical Therapist
610 PETERSON RD
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 Extended Care Facility, Inc.'s NPI number?

The NPI number for Libertyville Manor Extended Care Facility, Inc. is 1952390585. It was assigned to this organization in the NPPES registry on October 17, 2005.

Where is Libertyville Manor Extended Care Facility, Inc. located?

Libertyville Manor Extended Care Facility, Inc. is located at 610 Peterson Rd (highway #137), Libertyville, IL 60048. The listed phone number is (847) 367-6100.

What is Libertyville Manor Extended Care Facility, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Libertyville Manor Extended Care Facility, Inc. was last updated on May 7, 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.