OrganizationActive
Boulevard Care Center
NPI 1194860577 · Skilled Nursing Facility · Chicago, IL
Boulevard Care Center is a Skilled Nursing Facility organization in Chicago, IL (NPI 1194860577).
Provider details
- NPI number
- 1194860577
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jennie Shan-Martin, Controller(847) 329-1555
- License
- 0032276 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3405 S Michigan Ave
Chicago, IL 60616-3819
Phone: (312) 791-0035
Street-level locationGet directions
Mailing address
8320 Skokie Blvd
Skokie, IL 60077-2545
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Boulevard Care Center's NPI number?
- Boulevard Care Center's National Provider Identifier (NPI) is 1194860577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulevard Care Center?
- Boulevard Care Center is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Boulevard Care Center located?
- Boulevard Care Center's practice location on file with NPPES is 3405 S Michigan Ave, Chicago, IL 60616-3819.
- What is Boulevard Care Center's phone number?
- The practice phone number listed in the NPPES registry for Boulevard Care Center is (312) 791-0035.
- Who is the authorized official for Boulevard Care Center?
- The authorized official listed on Boulevard Care Center's NPPES record is Jennie Shan-Martin, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulevard Care Center's NPI active?
- Yes — Boulevard Care Center's NPI (1194860577) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.