Providence Healthcare and Rehabilitation Center South Holland – Skilled Nursing Facility, NPI 1124020474

Providence Healthcare and Rehabilitation Center South Holland is a healthcare provider. based in South holland, Illinois. specializing in Skilled Nursing Facility. The organization holds a License No. 0023242 (IL). The NPI Number for Providence Healthcare and Rehabilitation Center South Holland is 1124020474

Main info

Organization
Name
Providence Healthcare and Rehabilitation Center South Holland
NPI
1124020474
Phone
(708) 596-5500
Address
16300 WAUSAU AVE
Authorized Official
MS. JOAN C MCCARTHY VP OPERATIONAL SYSTEMS
Enumeration Date
1 June 2005
Last Update Date
14 April 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:21State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Providence Healthcare and Rehabilitation Center South Holland

  • Wausau Avenue, South Holland, Thornton Township, Cook County, Illinois, 60473, United States

    SOUTH HOLLAND, IL 604732158

    Phone: (708) 596-5500

    Fax: (708) 596-5527

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 60473)

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Reviews

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Frequently asked questions

Does Providence Healthcare and Rehabilitation Center South Holland have a public NPI I can cite?
Public records show Providence Healthcare and Rehabilitation Center South Holland under NPI 1124020474.
Is Providence Healthcare and Rehabilitation Center South Holland's NPI status active today?
Active status means Providence Healthcare and Rehabilitation Center South Holland's NPI record is not deactivated in the public file.
What type of care does Providence Healthcare and Rehabilitation Center South Holland provide?
Providence Healthcare and Rehabilitation Center South Holland's profile centers on Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Which community is linked to Providence Healthcare and Rehabilitation Center South Holland?
Providence Healthcare and Rehabilitation Center South Holland shows a connection to South Holland, Illinois in registry-derived data.
Can I export Providence Healthcare and Rehabilitation Center South Holland's record?
You can download the official NPPES record; we summarize key fields for readability.

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