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

Prairie Village Healthcare Center Inc

Organization Skilled Nursing Facility · NPI 1356486732

Prairie Village Healthcare Center Inc is a Skilled Nursing Facility in Jacksonville, Illinois. Medicare rates this nursing home 1 out of 5. Licensed in Illinois.

CMS rating
1 of 5
Licensed in
IL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 145294)
Health inspection3.0 / 5
Staffing1.0 / 5
Quality measures1.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

1024 W Walnut St
Jacksonville, IL 62650-1251
Phone: (217) 245-5175
Fax: (217) 243-4276
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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 0042671 (IL)

Record details

NPI number1356486732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennie Shanmartin — Medicare Billing · (847) 905-4026
NPI enumeratedFebruary 21, 2007
Last updated in NPPESFebruary 9, 2010
Mailing address2201 Main St, Evanston, IL 60202-1519

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