Boulevard Care Center
Boulevard Care Center is a healthcare organization registered as Skilled Nursing Facility in Chicago, IL, holding Type 2 (organization) NPI 1194860577 since 2007. The authorized official on file is Jennie Shan-Martin, Controller.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194860577 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Boulevard Care Center |
| Practice address | 3405 S MICHIGAN AVE, Chicago, IL, 60616 |
| Phone | 3127910035 |
| Enumeration date | 2007-02-21 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jennie Shan-Martin |
|---|---|
| Title | Controller |
| Phone | 8473291555 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 0032276 | IL |
Copy-ready billing details
Provider: Boulevard Care Center NPI: 1194860577 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 3405 S MICHIGAN AVE, Chicago, IL, 60616
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548356371 | D L White Psychological Services Ltd | Organization | Psychologist | Chicago, IL |
| 1548470545 | Donald White | Individual | Psychologist | Chicago, IL |
| 1437471075 | Kensington Place Nursing and Rehabilitation Center LLC | Organization | Skilled Nursing Facility | Chicago, IL |
| 1336693704 | Lester and Rosalie Anixter Center | Organization | Substance Use Disorder Rehabilitation Clinic/Center | Chicago, IL |
Verify this record
Cross-check NPI 1194860577 against the authoritative CMS record: view Boulevard Care Center 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
What type of organization is Boulevard Care Center?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.