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NPI Code Detail

MEDICARE: NEXUS AT FOREST EDGE, LLC

MEDICARE: NEXUS AT FOREST EDGE, 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1669364857
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXUS AT FOREST EDGE, LLC
Provider Business Mailing Address
First Line : 5151 CHURCH ST
Second Line :
City : SKOKIE
State : IL
Zip : 60077-1123
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8001 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60620-5930
Country : US
Telephone Number : 773-436-6600
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MARVIN RUBIN
Credential :
Telephone Number : 847-933-9200
Provider Enumeration Date : 07/21/2025
Last Update Date : 02/05/2026

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