NPIMap

Organization Active NPI

Birchwood Plaza Inc.

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1003801093
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0028696 Issued in IL
Legal business name
BIRCHWOOD PLAZA INC.
Practice address
1426 W Birchwood Ave
1426 W. Birchwood Ave.
Chicago, IL 60626-1807
Phone
(773) 274-4405
Fax
(773) 274-4412
NPI assigned
Sep 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Abraham Schiffman
Title
Administrator
Phone
(773) 274-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0028696 IL Primary

Addresses

Primary practice location

1426 W Birchwood Ave
1426 W. Birchwood Ave.
Chicago, IL 60626-1807

Mailing address

1426 W Birchwood Ave
1426 W. Birchwood Ave.
Chicago, IL 60626-1807
Phone (773) 274-4405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111203000072 IL Part A Provider - Skilled Nursing Facility 1254506231 Practice locations: Chicago, IL

Skilled nursing facility certification: CCN 145532

Legal name
BIRCHWOOD PLAZA INC.
Doing business as
BIRCHWOOD PLAZA INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1985
Last certification
Apr 3, 2025
Beds
200
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
1426 W Birchwood Ave
Chicago, IL 60626-1807
Nursing home name
BIRCHWOOD PLAZA
Affiliated entity
MARQUIS HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Birchwood PlazaCCN 145532
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200138.4 residents per day on average
Chain
Marquis Health Services87 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0889501Birchwood Plaza Inc1426 West Birchwood Avenue, Chicago, IL 60626Certificate of waiverJul 28, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charlotte Kohn Individual Corporate Director Jan 1, 2020
Operational/Managerial Control Dec 31, 2020
Adp of the SNF Dec 31, 2020
Kohn 2020 Family Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 31, 2020 49%
Adp of the SNF Dec 31, 2020
Kohn 2020 Descendants' Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 31, 2020 49%
Adp of the SNF Dec 31, 2020
Wolf Dietrich Peddinghaus Individual Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1003801093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 W BIRCHWOOD AVE",
            "address_2": "1426 W. BIRCHWOOD AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261807",
            "telephone_number": "773-274-4405",
            "fax_number": "773-274-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 W BIRCHWOOD AVE",
            "address_2": "1426 W. BIRCHWOOD AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261807",
            "telephone_number": "773-274-4405",
            "fax_number": "773-274-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD PLAZA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "SCHIFFMAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-274-4405",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0028696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.