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JENNINGS TERRACE NPI 1376706010


NPI Information

NPI: 1376706010
Provider Name: JENNINGS TERRACE
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 14D2195223

Address:
275 S. LASALLE STREET
AURORA, IL
ZIP 60505
Phone: (630) 879-6947
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JENNINGS TERRACE is a nursing facility intermediate care facility in Aurora, IL. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. JENNINGS TERRACE NPI is 1376706010. The provider is registered as an organization entity type.

The provider's business location address is:

275 S. LASALLE STREET
AURORA, IL
ZIP 60505
Phone: (630) 879-6947
Fax: (630) 879-6949

The provider's authorized official is Jomarie Silver .
The authorized official title is Administrator and has the following contact phone number (630) 235-1013.

The CLIA number assigned to this NPI record is 14D2195223 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 6/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility0010371ILLINOISNo
2385H00000XRespite Care0010371ILLINOISNo
3313M00000XNursing Facility/Intermediate Care Facility0010371ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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