Washington & Jane Smith Community - Orland Park

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0046698 Issued in IL

Legal business name

WASHINGTON & JANE SMITH COMMUNITY - ORLAND PARK

Practice address

10501 Emilie LN
Orland Park, IL 60467-8805

Phone

(708) 226-1800

Fax

(708) 326-2770

NPI assigned

Jan 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raymond J Marneris

Title

Cfo

Phone

(773) 474-7350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SMITH CROSSING Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Skilled nursing facility certification: CCN 146110

Legal name

WASHINGTON & JANE SMITH COMMUNITY - ORLAND PARK

Doing business as

SMITH CROSSING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 10, 2007

Last certification

Jun 28, 2024

Beds

92

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 6, 1999 in IL

Enrollment address

10501 Emilie LN
Orland Park, IL 60467-8805

Nursing home name

SMITH CROSSING

Listed as

Smith CrossingCCN 146110

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 10, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9281.4 residents per day on average

Penalties (3 years)

2Fines totaling $30,713

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Smith Crossing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Washington and Jane Smith Community- Orland Park

  • Speech-Language Pathologist
  • Orland Park, IL
  • NPI 1639385172
  NPD tax ID

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Julia M Philip-Kuli

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1417262031

  Adp of the SNF, Managing Control - Governing Body, Trustee of the SNF

  CMS ownership
• Ming-Yeng Su Tang, M.D.

  • Internal Medicine Physician
  • Oak Lawn, IL
  • NPI 1659346161

  Adp of the SNF, Limited Partnership Interest

  CMS ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Omar Akhtar, D.O.

  • Family Medicine Physician
  • New Lenox, IL
  • NPI 1386099133

  Nursing home

  Care Compare affiliation
• Salem Jad Makdah, M.D.

  • Internal Medicine Physician
  • Orland Park, IL
  • NPI 1760430557

  Nursing home

  Care Compare affiliation
• Shahbaz Shahid Nisar, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Burr Ridge, IL
  • NPI 1659647717

  Nursing home

  Care Compare affiliation
• Manamar Singh, M.D

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1770899221

  Nursing home

  Care Compare affiliation
• Ming-Yeng Su Tang, M.D.

  • Internal Medicine Physician
  • Oak Lawn, IL
  • NPI 1659346161

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1245383702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 EMILIE LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678805",
            "telephone_number": "708-226-1800",
            "fax_number": "708-326-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 EMILIE LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678805",
            "telephone_number": "708-226-1800",
            "fax_number": "708-326-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON & JANE SMITH COMMUNITY - ORLAND PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "MARNERIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-474-7350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC. NUMBER",
            "identifier": "0046698",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITH CROSSING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frances Ward, DNP, AGACNP-BC
• Kathleen Ward
• Patricia Anne Ward, M.S.,CCC-SP
• Rebecca Ward
• Anna Waring, DPT
• Washington and Jane Smith Community- Orland Park
• John A Wator, ATC
• Jonathan Watson, M.D.
• Kevin Curtis Watson, LPC
• Janine Watters, MSN, APRN, PMHNP-BC

• Skilled Nursing Facility in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.

Verify at the official NPI Registry.