Presbyterian Homes – Multi-Specialty Clinic/Center, NPI 1033179411

Presbyterian Homes is a healthcare provider. based in Evanston, Illinois. specializing in Multi-Specialty Clinic/Center. The NPI Number for Presbyterian Homes is 1033179411

Main info

Organization
Name
Presbyterian Homes
NPI
1033179411
Phone
(847) 492-4828
Address
3200 GRANT STREET
Authorized Official
MARK HAVRILKA CHIEF FINANCIAL OFFICER
Enumeration Date
28 March 2006
Last Update Date
14 October 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Presbyterian Homes

  • Westminster Place, 3200, Grant Street, Central Street Evanston, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 60201

    Phone: (847) 492-4828

    Fax: (847) 492-4810

    Type: Location

  • 8707 SKOKIE BLVD STE 400

    SKOKIE, IL 600772283

    Phone: (847) 979-3955

    Fax: (847) 979-3969

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050110000981OClinic/Group PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60201)

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Reviews

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Frequently asked questions

Can I verify Presbyterian Homes with an NPI only?
You can start verification with NPI 1033179411 for Presbyterian Homes, then check state licensing separately.
Does CMS list Presbyterian Homes as active?
Yes — Presbyterian Homes is active in the NPI listing used on this page.
What is Presbyterian Homes's specialty?
The listing groups Presbyterian Homes with Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
What area does Presbyterian Homes serve?
Presbyterian Homes's listing highlights Evanston, Illinois; more addresses can appear in NPPES.
Is the information about Presbyterian Homes up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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