Lake Forest Place, LLC
NPI 1336504117 · Skilled Nursing Facility · Lake Forest, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Forest Place, LLC is a Skilled Nursing Facility organization in Lake Forest, IL (NPI 1336504117).
Provider details
- NPI number
- 1336504117
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Havrilka, Chief Financial Officer(847) 979-3904
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
10 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
- 2015-12-22
- Last updated
- 2021-10-08
- Certified
- 2020-09-09
Frequently asked questions
- What is Lake Forest Place, LLC's NPI number?
- Lake Forest Place, LLC's National Provider Identifier (NPI) is 1336504117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Forest Place, LLC?
- Lake Forest Place, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lake Forest Place, LLC located?
- Lake Forest Place, LLC's practice location on file with NPPES is 1100 Pembridge Dr, Lake Forest, IL 60045-4228.
- What is Lake Forest Place, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Forest Place, LLC is (847) 604-6700.
- Does Lake Forest Place, LLC accept Medicare?
- Lake Forest Place, LLC 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 Lake Forest Place, LLC?
- The authorized official listed on Lake Forest Place, LLC's NPPES record is Mark Havrilka, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Forest Place, LLC's NPI active?
- Yes — Lake Forest Place, LLC's NPI (1336504117) is active in the NPPES registry as of the last update on 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.