LS
LAKE SHORE HEALTHCARE & REHABILITATION CENTRE LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
CHICAGO, IL
Licensed since
2009
Rate
—
Federal identifiers
NPI registry number1700115805
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameNESANEL DAVIS
TitleADMINISTRATOR
Phone7739737200
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Source: NPI Registry · Last refreshed June 24, 2026