Addolorata Villa – Skilled Nursing Facility, NPI 1205874658

Addolorata Villa is a healthcare provider. based in Wheeling, Illinois. specializing in Skilled Nursing Facility. The organization holds a License No. 1577674 (IL). The NPI Number for Addolorata Villa is 1205874658

Main info

Organization
Name
Addolorata Villa
NPI
1205874658
Phone
(847) 537-2900
Address
555 MCHENRY RD
Authorized Official
MS. JUDY AMIANO PRESIDENT & CEO
Enumeration Date
4 June 2006
Last Update Date
17 August 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:20State licenses:2Digital endpointsUpdated within 12 months

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Provider Addresses for Addolorata Villa

  • 555, McHenry Road, Wheeling, Wheeling Township, Cook County, Illinois, 60090, United States

    WHEELING, IL 600903856

    Phone: (847) 537-2900

    Fax: (847) 215-5805

    Type: Location

  • 1055, 175th Street, Homewood, Thornton Township, Cook County, Illinois, 60430, United States

    SUITE 202

    HOMEWOOD, IL 604304610

    Phone: (708) 647-6500

    Fax: (708) 647-6982

    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: 2009-07-07

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
O20090707000353OSkilled Nursing FacilityILTBD

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 60090)

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Reviews

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Frequently asked questions

What number should I use to identify Addolorata Villa for billing?
Administrative and clinical systems typically use NPI 1205874658 for Addolorata Villa.
Should I treat Addolorata Villa as an active provider?
Patients and plans typically see Addolorata Villa as active in the national extract.
How should patients interpret Addolorata Villa's specialty?
The extract shows Skilled Nursing Facility for Addolorata Villa. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Addolorata Villa?
Addolorata Villa is associated with Wheeling, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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