OrganizationActive
Prairie Village Healthcare Center Inc
NPI 1356486732 · Skilled Nursing Facility · Jacksonville, IL
Provider details
- NPI number
- 1356486732
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jennie Shanmartin, Medicare Billing(847) 905-4026
- License
- 0042671 (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
1024 W Walnut St
Jacksonville, IL 62650-1251
Phone: (217) 245-5175
Fax: (217) 243-4276
Street-level locationGet directions
Mailing address
2201 Main St
Evanston, IL 60202-1519
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2010-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.