Palm Garden of Mattoon, LLC · Skilled Nursing Facility

8153 Lawndale Ave, Skokie, IL 60076-3321

Overview

Palm Garden of Mattoon, LLC is a Skilled Nursing Facility (organization) practicing in Mattoon, Illinois. The National Provider Identifier (NPI) is #1275356768, which was assigned on November 4, 2024, and the registration record was last updated on January 23, 2025. The practitioner's main practice location is at 1000 Palm Ave, Mattoon, IL 61938-6031; the contact telephone number is 2172347403. The primary taxonomy of Palm Garden of Mattoon, LLC is Skilled Nursing Facility (314000000X). The authorized official for Palm Garden of Mattoon, LLC is Kevin Chankin (Authorized Official).

(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.

Provider Information

NPI 1275356768
Entity Type Organization
Organization Name PALM GARDEN OF MATTOON, LLC
Provider Name PALM GARDEN OF MATTOON, LLC
Practice Address 1000 Palm Ave
Mattoon
IL 61938-6031
Practice Telephone 2172347403
Mailing Address 8153 Lawndale Ave
Skokie
IL 60076-3321
Certification Date 2025-01-23
Enumeration Date 2024-11-04
Last Update Date 2025-01-23
Is Organization Subpart N

Authorized Official Information

Official Name KEVIN CHANKIN
Official Title AUTHORIZED OFFICIAL
Telephone 7739451107

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y314000000XSkilled Nursing Facility

Other Provider Names

Other Organization NameType
Palm Garden of Mattoon,Doing Business As Name

Taxonomy Information

Primary Taxonomy

Code 314000000X
Taxonomy Skilled Nursing Facility
Classification Skilled Nursing Facility
Grouping Nursing & Custodial Care Facilities
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.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

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Location Information

Street Address 8153 LAWNDALE AVE
City SKOKIE
State IL
Zip Code 60076-3321
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Blue Diamond Holdings LLC 8153 Lawndale Ave, Skokie, IL 60076-3321Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-04-24
Wentworth Homes LLC 8153 Lawndale Ave, Skokie, IL 60076-3321Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-04-23

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Bianca Diaz 9700 Gross Point Rd, Skokie, IL 60076-1175Speech-Language Pathologist2025-06-02
Alexis Elizabeth Kahn 9600 Gross Point Rd, Skokie, IL 60076Student in an Organized Health Care Education/Training Program2024-10-25
Maxwell Rich 9600 Gross Point Rd, Skokie, IL 60076-1214Internal Medicine Physician2022-04-28
Hazel Corpuz 4607 Golf Rd, Skokie, IL 60076-1209Physical Therapist2025-06-03
Sara Pop 4700 Old Orchard Rd Apt 302, Skokie, IL 60076-1022Lactation Consultant (Registered Nurse)2024-10-30
Margaret Anne Salamon 9650 Gross Point Rd Ste 3900, Skokie, IL 60076Obstetrics & Gynecology Physician2006-04-24
Jihye Kang 4607 Golf Rd, Skokie, IL 60076-1209Physical Therapist2023-06-28
Florina Maria Demian 4057 Old Orchard Rd # North, Skokie, IL 60076-1001Dental Clinic/Center2017-05-28
Caroline N. Sadowicz 9600 Gross Point Rd Ste 1200, Skokie, IL 60076-1214Nurse Practitioner2025-06-10
Jessica Michele Bergmann · Jessica Michele Gregg 9600 Gross Point Rd., Skokie, IL 60076-1214Physician Assistant2011-10-17
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.