Active NPI
Little Sisters of the Poor Chicago Inc
- Skilled Nursing Facility
- Chicago, IL
National Provider Identifier
1174652176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LITTLE SISTERS OF THE POOR CHICAGO INC
- Practice address
- 2325 N Lakewood Ave
Chicago, IL 60614-3112 - Phone
- (773) 935-9600
- Fax
- (773) 935-4291
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claire McCanless
- Title
- President
- Phone
- (773) 935-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2325 N Lakewood Ave
Chicago, IL 60614-3112
Mailing address
2325 N Lakewood Ave
Chicago, IL 60614-3112
Phone (773) 935-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005563 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171220000619 | IL | Part A Provider - Skilled Nursing Facility | 4688932627 | Practice locations: Chicago, IL |
Skilled nursing facility certification: CCN 146185
- Legal name
- LITTLE SISTERS OF THE POOR CHICAGO INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 2018
- Last certification
- Mar 7, 2025
- Beds
- 76
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Oct 18, 1881 in IL
- Enrollment address
- 2325 N Lakewood Ave
Chicago, IL 60614-3112 - Nursing home name
- LITTLE SISTERS OF THE POOR
- Affiliated entity
- LITTLE SISTERS OF THE POOR
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Little Sisters of the Poor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 1, 2018
- Medicare certification status
- Active
- Certified beds
- 76
- Chain
- Little Sisters of the Poor
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0424511 | Little Sisters of the Poor | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Carolyn Martin | Corporate Officer | Jun 1, 2017 | 25% |
| Ann Donnelly | Corporate Officer | Jun 1, 2017 | 25% |
| Claire McCanless | 5% Or Greater Indirect Ownership Interest | May 29, 2014 | 50% |
| Corporate Officer | May 29, 2014 | 50% | |
| W-2 Managing Employee | Jan 1, 2017 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513555200000",
"number": "1174652176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 N LAKEWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143112",
"telephone_number": "773-935-9600",
"fax_number": "773-935-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 N LAKEWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143112",
"telephone_number": "773-935-9600",
"fax_number": "773-935-4291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE SISTERS OF THE POOR CHICAGO INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2017-12-18",
"status": "A",
"authorized_official_last_name": "MCCANLESS",
"authorized_official_first_name": "CLAIRE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-935-9600"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005563",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Little Foot Therapy, PLLC
- Little Giggles Speech Therapy LLC
- Little Leaps Child and Family Counseling, PLLC
- Little Peoples Place for Therapy LLC
- Little Pine Counseling LLC
- Little Steps, Big Strides, LLC
- Little Village Dental PC
- Little Village Nursing and Rehabilitation Center, LLC
- Little Village Pharmacy Inc
- Little Village Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.