Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Marianjoy at Providence Victorian Village

Organization Skilled Nursing Facility · NPI 1174912562

Marianjoy at Providence Victorian Village is a Skilled Nursing Facility in Homer Glen, Illinois. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

12525 Renaissance Cir
Homer Glen, IL 60491-5896 Not confirmed with CMS for 11 years — call before visiting
Phone: (708) 590-5050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1174912562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Booker — Pfs Contracted Lead · (630) 909-7374
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJanuary 22, 2015
Mailing address12525 Renaissance Cir, Homer Glen, IL 60491-5896

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Homer Glen