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Libertyville Manor Extended Care Facility, Inc.

Skilled Nursing Facility in Libertyville, IL · enumerated 2005 · authorized official Gina Gamble, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952390585

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Registry record

Entity type Organization (Type 2)
Legal business name Libertyville Manor Extended Care Facility, Inc.
Practice address 610 Peterson Rd, (Highway #137), Libertyville, IL, 60048
Phone (847) 367-6100
Fax (847) 680-2030
Enumeration date Oct 17, 2005
Last updated in NPPES May 7, 2009

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 0017780 (IL) Primary

Authorized official

Name Gina Gamble
Title Office Manager
Phone (847) 367-6100

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.

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Frequently asked questions

Who is the authorized official for Libertyville Manor Extended Care Facility, Inc.?
NPPES lists Gina Gamble (Office Manager) as the authorized official for this organization.
What is the NPI number for Libertyville Manor Extended Care Facility, Inc.?
The NPI for Libertyville Manor Extended Care Facility, Inc. is 1952390585, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-07.