Providence Operations, LLC
Providence Operations, LLC is a healthcare organization registered as Skilled Nursing Facility in Palos Heights, IL, holding Type 2 (organization) NPI 1174525422 since 2005. The authorized official on file is Johanna Zandstra, Compliance Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174525422 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Providence Operations, LLC |
| Other name | <Unavail> |
| Practice address | 13259 S CENTRAL AVE, Palos Heights, IL, 60463 |
| Phone | 7085971000 |
| Fax | 7085971000 |
| Enumeration date | 2005-06-01 |
| Last updated in NPPES | 2015-09-23 |
Authorized official
| Name | Johanna Zandstra |
|---|---|
| Title | Compliance Officer |
| Phone | 7083428137 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 0028605 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362382853002 | Medicaid | IL | — |
Copy-ready billing details
Provider: Providence Operations, LLC NPI: 1174525422 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 13259 S CENTRAL AVE, Palos Heights, IL, 60463
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164590725 | Nelson Mclemore | Individual | Physical Medicine & Rehabilitation Physician | Palos Heights, IL |
| 1649404245 | Marianjoy at Providence Palos Heights | Organization | Skilled Nursing Facility | Palos Heights, IL |
| 1588122733 | James Lysaught | Individual | Occupational Therapist | Palos Heights, IL |
Verify this record
Cross-check NPI 1174525422 against the authoritative CMS record: view Providence Operations, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Providence Operations, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-09-23.