Fullerton Skilled Nursing Facility LLC
NPI 1386332906 · Skilled Nursing Facility · Chicago, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fullerton Skilled Nursing Facility LLC is a Skilled Nursing Facility organization in Chicago, IL (NPI 1386332906).
Provider details
- NPI number
- 1386332906
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Menachem Shabat, Coo(773) 248-9300
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
3 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
Other names (DBA / former)
- Doing business as
- Avantara Lincoln Park
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Frequently asked questions
- What is Fullerton Skilled Nursing Facility LLC's NPI number?
- Fullerton Skilled Nursing Facility LLC's National Provider Identifier (NPI) is 1386332906, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fullerton Skilled Nursing Facility LLC?
- Fullerton Skilled Nursing Facility LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Fullerton Skilled Nursing Facility LLC located?
- Fullerton Skilled Nursing Facility LLC's practice location on file with NPPES is 1366 W Fullerton Ave, Chicago, IL 60614-2129.
- What is Fullerton Skilled Nursing Facility LLC's phone number?
- The practice phone number listed in the NPPES registry for Fullerton Skilled Nursing Facility LLC is (773) 248-9300.
- Does Fullerton Skilled Nursing Facility LLC accept Medicare?
- Fullerton Skilled Nursing Facility 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 Fullerton Skilled Nursing Facility LLC?
- The authorized official listed on Fullerton Skilled Nursing Facility LLC's NPPES record is Menachem Shabat, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fullerton Skilled Nursing Facility LLC's NPI active?
- Yes — Fullerton Skilled Nursing Facility LLC's NPI (1386332906) is active in the NPPES registry as of the last update on 2023-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.