Libertyville Manor Extended Care Facility, Inc.
NPI 1952390585 · Skilled Nursing Facility · Libertyville, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Libertyville Manor Extended Care Facility, Inc. is a Skilled Nursing Facility organization in Libertyville, IL (NPI 1952390585).
Provider details
- NPI number
- 1952390585
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gina Gamble, Office Manager(847) 367-6100
- License
- 0017780 (IL)
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
20 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
- 2005-10-17
- Last updated
- 2009-05-07
Frequently asked questions
- What is Libertyville Manor Extended Care Facility, Inc.'s NPI number?
- Libertyville Manor Extended Care Facility, Inc.'s National Provider Identifier (NPI) is 1952390585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Libertyville Manor Extended Care Facility, Inc.?
- Libertyville Manor Extended Care Facility, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Libertyville Manor Extended Care Facility, Inc. located?
- Libertyville Manor Extended Care Facility, Inc.'s practice location on file with NPPES is 610 Peterson Rd, Libertyville, IL 60048-1014.
- What is Libertyville Manor Extended Care Facility, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Libertyville Manor Extended Care Facility, Inc. is (847) 367-6100.
- Does Libertyville Manor Extended Care Facility, Inc. accept Medicare?
- Libertyville Manor Extended Care Facility, Inc. 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 Libertyville Manor Extended Care Facility, Inc.?
- The authorized official listed on Libertyville Manor Extended Care Facility, Inc.'s NPPES record is Gina Gamble, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Libertyville Manor Extended Care Facility, Inc.'s NPI active?
- Yes — Libertyville Manor Extended Care Facility, Inc.'s NPI (1952390585) is active in the NPPES registry as of the last update on 2009-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.