CRESTWOOD REHABILITATION CENTER LLC – NPI #1417610163
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.

CRESTWOOD REHABILITATION CENTER LLC is a skilled nursing facility (SNF) located in CRESTWOOD, IL. NPPES has assigned the NPI number 1417610163 to CRESTWOOD REHABILITATION CENTER LLC on October 20, 2021. 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 last updated on Aug 11, 2025. 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 CRESTWOOD REHABILITATION CENTER LLC below.

NPI Profile for
CRESTWOOD REHABILITATION CENTER LLC

NPI Number
1417610163
Enumeration Date

(more than 4 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
CRESTWOOD REHABILITATION CENTER LLC
Primary location
14255 CICERO AVE
CRESTWOOD, IL 60418-2154
Phone: (708) 371-0400 Fax:
1 Other location(s):
2201 Main St
Evanston, IL 60202-1519
Phone: (847) 905-3000
Mailing address
2201 MAIN ST
EVANSTON, IL 60202-1519
Phone: (847) 905-3000 Fax:
Organization Subpart
No
Authorized Official
LEVI ISRAEL
CEO
Phone: (847) 905-3000
Updated
Certification Date
Aug 11, 2025

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.

Identifiers

Identifiers for CRESTWOOD REHABILITATION CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIL6002265
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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
crestwoodrehab.com
Endpoint type
CONNECT URL
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
14255 CICERO AVE,
CRESTWOOD, IL 77025-1669

Endpoint
crestwoodrehabcenter.com
Endpoint type
CONNECT URL
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
14255 CICERO AVE,
CRESTWOOD, IL 77025-1669