Organization Active NPI

Jennings Terrace

  • Nursing Facility/Intermediate Care Facility
  • Aurora, IL
National Provider Identifier
1376706010
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0010371 Issued in IL
Legal business name
JENNINGS TERRACE
Practice address
275 S. Lasalle Street
Aurora, IL 60505
Phone
(630) 879-6947
Fax
(630) 879-6949
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Jomarie Silver
Title
Administrator
Phone
(630) 235-1013

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0010371 IL Primary
Skilled Nursing Facility 314000000X 0010371 IL
Respite Care 385H00000X 0010371 IL

Addresses

Primary practice location

275 S. Lasalle Street
Aurora, IL 60505

Mailing address

275 S Lasalle Street
Aurora, IL 60505-4258
Phone (630) 897-6947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060320000522 IL Part A Provider - Skilled Nursing Facility 2466469234 Practice locations: Aurora, IL

Skilled nursing facility certification: CCN 146197

Legal name
JENNINGS TERRACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 13, 2021
Last certification
Nov 21, 2024
Beds
163 (60 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 16, 1943 in IL
Enrollment address
275 S Lasalle St
Aurora, IL 60505-5841
Nursing home name
JENNINGS TERRACE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Jennings TerraceCCN 146197
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 13, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6045.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2195223Jennings Terrace275 Lasalle St, Aurora, IL 60505Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Duanne Kleckner Individual Corporate DirectorPres of Board Oct 28, 2020 50%
David M Underwood Individual Corporate OfficerExec VP & Cfo Oct 28, 2020 10%
Jonathan Bieritz Individual Corporate DirectorBoard Member Jul 20, 2022 10%
Lynn Akers Individual Corporate DirectorDirector Oct 28, 2020 10%
Jim Brown Individual Corporate DirectorDirector Oct 28, 2020 10%
Jomarie Silver Individual Corporate Director Apr 28, 2022
W-2 Managing EmployeeAdministrator Jun 29, 2022 100%
Operational/Managerial ControlAdministrator Apr 28, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1376706010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S LASALLE STREET",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054258",
            "telephone_number": "630-897-6947",
            "fax_number": "630-897-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S. LASALLE STREET",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60505",
            "telephone_number": "630-879-6947",
            "fax_number": "630-879-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "JOMARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-235-1013"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0010371",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0010371",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "IL",
            "license": "0010371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.