Nokomis Healthcare & Senior Living LLC
Organization Active NPI Skilled Nursing Facility · Nokomis, IL
NPI 1679396154 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1679396154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- NOKOMIS HEALTHCARE & SENIOR LIVING LLC
- Practice address
- 505 Stevens St
Nokomis, IL 62075-1442 - Phone
- (217) 563-7725
- NPI assigned
- Nov 4, 2024
- Organization subpart
- No
Authorized official
- Name
- Kevin Chankin
- Title
- Authorized Official
- Phone
- (773) 745-1107
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
505 Stevens St
Nokomis, IL 62075-1442
Mailing address
8153 Lawndale Ave
Skokie, IL 60076-3321
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- Lauren E Mahan
- Timothy K Massengill
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- Nokomis Medical Group
- Nokomis-Witt Area Ambulance Service
- Nokomis-Witt Area Ambulance Service Inc
- Pana Community Hospital Association
- Pana Community Hospital Association
All providers in Nokomis, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.