Three Crowns Park
NPI 1205291457ActiveOrganization· Skilled Nursing Facility· Evanston, IL
Skilled Nursing Facility in Evanston, Illinois, registered in NPPES in December 2015. The authorized official on file is Philip Hemmer, Executive Director. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1205291457 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2015 |
| Last updated in NPPES | Dec 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 0012773 | IL |
| Assisted Living Facility | 310400000X | 5102915 | IL |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0012773 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (IL) |
|---|
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