MEDICARE: NORTH CHURCH NURSING & REHAB, 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	313M00000X	Nursing Facility/Intermediate Care Facility

General Provider Information

NPI Number	:	1669788873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH CHURCH NURSING & REHAB, LLC

Provider Business Mailing Address
First Line	:	8131 MONTICELLO AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-3325
Country	:	US
Telephone Number	:	847-673-6767
Fax Number	:	847-673-6768

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	:	217-243-5901

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. YOSEF MEYSTEL
Credential	:
Telephone Number	:	847-673-6767

Provider Enumeration Date	:	08/25/2010
Last Update Date	:	09/10/2019

Similar Medicare Providers

1467450866 — GOLDEN MOMENTS SENIOR CARE CENTER LTD
Practice Location Address:

1021 N CHURCH ST
JACKSONVILLE, IL
62650-1301

Practice Phone: 217-245-4174
Practice Fax: 217-243-5901

1528600434 — NORTH CHURCH NURSING & REHAB, LLC
Practice Location Address:

1021 N CHURCH ST
JACKSONVILLE, IL
62650-1301

Practice Phone: 217-245-4174
Practice Fax:

1407513385 — ARCADIA CARE JACKSONVILLE LLC
Practice Location Address:

1021 N CHURCH ST
JACKSONVILLE, IL
62650-1301

Practice Phone: 217-245-4174
Practice Fax:

1225795107 — ARCADIA CARE JACKSONVILLE LLC
Practice Location Address:

1021 N CHURCH ST
JACKSONVILLE, IL
62650-1301

Practice Phone: 217-245-4174
Practice Fax:

1700469988 — MISS DIANA RIVERO APRN
Practice Location Address:

1301 PALM AVE STE 600
JACKSONVILLE, FL
32207-8457

Practice Phone: 904-202-7300
Practice Fax: 904-202-2754

1740037951 — MR. PHILLIP DANIEL ALIX PA-C
Practice Location Address:

1301 PALM AVE STE 500
JACKSONVILLE, FL
32207-8432

Practice Phone: 904-202-7300
Practice Fax: 904-202-7433

Directions to “NORTH CHURCH NURSING & REHAB, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.