St. Coletta'S of Illinois, Inc.
NPI 1154509289 · Intellectual Disabilities Intermediate Care Facility · Country Club Hills, IL
St. Coletta'S of Illinois, Inc. is a Intellectual Disabilities Intermediate Care Facility organization in Country Club Hills, IL (NPI 1154509289).
Provider details
- NPI number
- 1154509289
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Annette Skafgaard, Director of Finance(708) 342-5253
Specialties & taxonomies
Nursing & Custodial Care Facilities
Ambulatory Health 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
Other names (DBA / former)
- Doing business as
- Country Club Terrace
- Doing business as
- Country Club Terrace
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Frequently asked questions
- What is St. Coletta'S of Illinois, Inc.'s NPI number?
- St. Coletta'S of Illinois, Inc.'s National Provider Identifier (NPI) is 1154509289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Coletta'S of Illinois, Inc.?
- St. Coletta'S of Illinois, Inc. is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is St. Coletta'S of Illinois, Inc. located?
- St. Coletta'S of Illinois, Inc.'s practice location on file with NPPES is 4900 183rd St, Country Club Hills, IL 60478-4568.
- What is St. Coletta'S of Illinois, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for St. Coletta'S of Illinois, Inc. is (708) 647-0752.
- Who is the authorized official for St. Coletta'S of Illinois, Inc.?
- The authorized official listed on St. Coletta'S of Illinois, Inc.'s NPPES record is Annette Skafgaard, Director of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Coletta'S of Illinois, Inc.'s NPI active?
- Yes — St. Coletta'S of Illinois, Inc.'s NPI (1154509289) is active in the NPPES registry as of the last update on 2022-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.