MEDICARE: ARCADIA CARE JACKSONVILLE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1225795107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCADIA CARE JACKSONVILLE LLC

Provider Business Mailing Address
First Line	:	4655 W CHASE AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-1605
Country	:	US
Telephone Number	:	847-262-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 N CHURCH ST
Second Line	:
City	:	JACKSONVILLE
State	:	IL
Zip	:	62650-1301
Country	:	US
Telephone Number	:	217-245-4174
Fax Number	:

Authorized Official
Title or Position	:	VP OF REVENUE CYCLE MANAGEMENT
Name	:	JENNIFER SPECTOR
Credential	:
Telephone Number	:	847-262-3800

Provider Enumeration Date	:	11/26/2021
Last Update Date	:	09/25/2025

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