WAVERLY PLACE OF STOCKTON, LLC – NPI #1316330152
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

WAVERLY PLACE OF STOCKTON, LLC is a skilled nursing facility (SNF) located in STOCKTON, IL. NPPES has assigned the NPI number 1316330152 to WAVERLY PLACE OF STOCKTON, LLC on March 17, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 5 years ago on Aug 04, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WAVERLY PLACE OF STOCKTON, LLC below.

NPI Profile for
WAVERLY PLACE OF STOCKTON, LLC

NPI Number
1316330152
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WAVERLY PLACE OF STOCKTON, LLC
Primary location
501 E FRONT AVENUE
STOCKTON, IL 61085
Phone: (815) 947-2215 Fax:
Mailing address
2711 W HOWARD ST
CHICAGO, IL 60645-1303
Phone: Fax:
Organization Subpart
No
Authorized Official
SAMANTHA MEYER
VP OF REVENUE CYCLE MANAGEMENT
Phone: (773) 338-4400
Updated
Certification Date
Aug 04, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.