OrganizationActive
Beth Anne Extended Living
NPI 1194902353 · Assisted Living Facility · Chicago, IL
Beth Anne Extended Living is a Assisted Living Facility organization in Chicago, IL (NPI 1194902353).
Provider details
- NPI number
- 1194902353
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Bethel New Life, Inc.
- Organization subpart
- Yes
- Authorized official
- Steven Mccullough, President and Ceo(773) 473-7870
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
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
1143 N Lavergne Ave
Chicago, IL 60651-3117
Phone: (773) 287-2711
Fax: (773) 473-7871
Street-level locationGet directions
Mailing address
1143 N Lavergne Ave
Chicago, IL 60651-3117
Other names (DBA / former)
- Other name
- Beth Anne Place
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2008-01-30
Frequently asked questions
- What is Beth Anne Extended Living's NPI number?
- Beth Anne Extended Living's National Provider Identifier (NPI) is 1194902353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beth Anne Extended Living?
- Beth Anne Extended Living is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Beth Anne Extended Living located?
- Beth Anne Extended Living's practice location on file with NPPES is 1143 N Lavergne Ave, Chicago, IL 60651-3117.
- What is Beth Anne Extended Living's phone number?
- The practice phone number listed in the NPPES registry for Beth Anne Extended Living is (773) 287-2711.
- Who is the authorized official for Beth Anne Extended Living?
- The authorized official listed on Beth Anne Extended Living's NPPES record is Steven Mccullough, President and Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beth Anne Extended Living's NPI active?
- Yes — Beth Anne Extended Living's NPI (1194902353) is active in the NPPES registry as of the last update on 2008-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.