Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Libertyville Manor Extended Care Facility, Inc

Organization Skilled Nursing Facility · NPI 1952390585

Libertyville Manor Extended Care Facility, Inc is a Skilled Nursing Facility in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

610 Peterson Rd (highway #137)
Libertyville, IL 60048-1014
Phone: (847) 367-6100
Fax: (847) 680-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0017780 (IL)

Record details

NPI number1952390585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Gamble — Office Manager · (847) 367-6100
NPI enumeratedOctober 17, 2005
Last updated in NPPESMay 7, 2009
Mailing address610 Peterson Rd, Highway #137), Libertyville, IL 60048-1014

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