Presence Senior Services Chicagoland

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0044362 Issued in IL

Legal business name

PRESENCE SENIOR SERVICES CHICAGOLAND

Doing business as

Ascension Living Resurrection Place

Practice address

1001 N Greenwood Ave
Park Ridge, IL 60068-2054

Phone

(847) 692-5600

Fax

(847) 692-2305

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Kellie Gronefeld

Title

Coo

Phone

(314) 729-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ascension Living Resurrection Place Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Presence Chicago Hospitals Network

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1194404251

  Member Of

  NPD member

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1730173048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18927 HICKORY CREEK DR",
            "address_2": "SUITE #300",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488590",
            "telephone_number": "708-478-6382",
            "fax_number": "708-478-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N GREENWOOD AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682054",
            "telephone_number": "847-692-5600",
            "fax_number": "847-692-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE SENIOR SERVICES CHICAGOLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "GRONEFELD",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "314-729-3500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0044362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Living Resurrection Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren K Prescott
• Presence Ambulatory Services
• Presence Ambulatory Services
• Presence Healthcare Services
• Presence Healthcare Services
• Daniel Joshua Press, O.D.
• Prestige Clinical Laboratory LLC
• Katherine Prezas
• Elizabeth Price, DO
• Prima Medical Practices Inc

• Skilled Nursing Facility in Park Ridge, IL
• Providers in Park Ridge, 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 Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.