PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC – Rehabilitation Clinic/Center, NPI 1306243852

PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC is a healthcare provider. based in Evanston, Illinois. specializing in Rehabilitation Clinic/Center. The NPI Number for PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC is 1306243852

Main info

Organization
Name
PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC
NPI
1306243852
Phone
(847) 492-2940
Address
3200 GRANT ST
Authorized Official
MARK HAVRILKA CHIEF FINANCIAL OFFICER
Enumeration Date
28 November 2014
Last Update Date
8 October 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:11State licenses:0Digital endpointsOther names

Provider Addresses for PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC

  • 3200 GRANT ST

    EVANSTON, IL 602011903

    Phone: (847) 492-2940

    Fax: (847) 492-2850

    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: 2015-05-07

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
O20150507001415OOutpatient Physical Therapy/Occupational Therapy/Speech Pathology ServicesILTBD

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

How do payers reference PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC?
For PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC, use NPI 1306243852 as the unique 10-digit identifier.
Would PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC appear as active to a payer?
You can treat PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC?
At a glance, PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC is tied to Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC?
Travel planning: use Evanston, Illinois as the reference point for PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC, then confirm.
Does PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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