Peace Village
NPI 1033396890 · Assisted Living Facility · Palos Park, IL
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peace Village is a Assisted Living Facility organization in Palos Park, IL (NPI 1033396890).
Provider details
- NPI number
- 1033396890
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Roger Ellens, Cfo(708) 671-2403
- License
- 5101065 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-23
- Last updated
- 2014-07-24
Frequently asked questions
- What is Peace Village's NPI number?
- Peace Village's National Provider Identifier (NPI) is 1033396890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peace Village?
- Peace Village is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Peace Village located?
- Peace Village's practice location on file with NPPES is 10300 Village Circle Dr, Palos Park, IL 60464-3541.
- What is Peace Village's phone number?
- The practice phone number listed in the NPPES registry for Peace Village is (708) 671-2403.
- Does Peace Village accept Medicare?
- Peace Village is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peace Village?
- The authorized official listed on Peace Village's NPPES record is Roger Ellens, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peace Village's NPI active?
- Yes — Peace Village's NPI (1033396890) is active in the NPPES registry as of the last update on 2014-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.