Presbyterian Homes Outpatient Rehabilitation Agency LLC
NPI 1306243852 · Rehabilitation Clinic/Center · Evanston, IL
Enrolled with Medicare as Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1306243852
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Presbyterian Homes Manager LLC
- Organization subpart
- Yes
- Authorized official
- Mark Havrilka, Chief Financial Officer(847) 979-3904
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2014-11-28
- Last updated
- 2021-10-08
- Certified
- 2021-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.