NPIMap

Organization Active NPI

Sedgebrook Opco SL-VII LLC

Doing business as Radford Green

  • Skilled Nursing Facility
  • Lincolnshire, IL
National Provider Identifier
1013403195
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SEDGEBROOK OPCO SL-VII LLC
Doing business as
Radford Green
Practice address
960 Audubon Way
Lincolnshire, IL 60069-3886
Phone
(847) 901-3319
Fax
(847) 876-2403
NPI assigned
Jul 2, 2018
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
David A Reis
Title
Authorized Official
Phone
(203) 222-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

960 Audubon Way
Lincolnshire, IL 60069-3886

Mailing address

960 Audubon Way
Lincolnshire, IL 60069-3886
Phone (847) 901-3319

Other names 1

  • RADFORD GREEN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180917000478 IL Part A Provider - Skilled Nursing Facility 4880945716 Practice locations: Lincolnshire, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013403195. Details of each certification follow.

Skilled nursing facility certification: CCN 146136

Legal name
SEDGEBROOK OPCO SL-VII LLC
Doing business as
RADFORD GREEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 21, 2009
Last certification
Feb 20, 2025
Beds
84
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Seogebrook opoc llc
Organization structure
LLCProprietary
Incorporated
May 24, 2018 in DE
Enrollment address
960 Audubon Way
Radford Green
Lincolnshire, IL 60069-3886
Nursing home name
RADFORD GREEN
Affiliated entity
LIFE CARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Radford GreenCCN 146136 · All quality measures
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 21, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8479.9 residents per day on average
Chain
Life Care Services43 facilities in the chain
Penalties (3 years)
7Fines totaling $206,689

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Radford Green2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

960 Audubon Way
Lincolnshire, IL 60069
Phone (847) 876-2401

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Life Care Companies LLC Organization, Des Moines, IA LLC, Owned by another organization or individual Indirect Ownership Interest Mar 29, 2010 3.2%
Chicago CCRC Partners II LLC Organization, Harrison, NY LLC 5% Or Greater Indirect Ownership Interest Aug 3, 2018 10.67%
Michelle R Bettigole Individual Operational/Managerial Control Oct 23, 2023
Senior Living VII Sedgebrook Investor Corp Organization, Atlanta, GA Corporation 5% Or Greater Indirect Ownership Interest Aug 3, 2018 62.53%
Senior Care Arcapita I LLC Organization, Harrison, NY LLC 5% Or Greater Indirect Ownership Interest Aug 3, 2018 7.47%
Life Care Services LLC Organization, Des Moines, IA LLC, Management services company, For-profit Operational/Managerial Control Aug 13, 2018
Tiffany a. Zapata Individual Operational/Managerial Control Jan 26, 2026
Adp of the SNF Jan 28, 2026
Richard a Margolin Individual Operational/Managerial Control Feb 15, 2024
Adp of the SNF Jun 12, 2025
Life Care Services Communities LLC Organization, Des Moines, IA LLC, Owned by another organization or individual Indirect Ownership Interest May 23, 2014 3.2%
David a Reis Individual Corporate OfficerPresident Aug 3, 2018 100%
LCS Holding Company LLC Organization, Des Moines, IA LLC, Owned by another organization or individual Indirect Ownership Interest Dec 28, 2021 3.2%
Tamara Solari Individual Operational/Managerial Control Oct 15, 2024
Adp of the SNF Jun 12, 2025
Denise a Defiebre Individual Corporate OfficerVice President & Asst. Secretary Aug 3, 2018
Oak Investment Trust Organization, Tampa, FL Indirect Ownership Interest Dec 31, 2010 51%
Senior Living VII Investor Corp Organization, Harrison, NY Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 3, 2018 26.8%
McCarthy Group LLC Organization, Omaha, NE LLC, Owned by another organization or individual Indirect Ownership Interest Jul 30, 2021 0.31%
Oak Investment Trust II Organization, Tampa, FL Indirect Ownership Interest Dec 31, 2010 1.47%
LCS Management Holding Company LLC Organization, Des Moines, IA LLC Indirect Ownership Interest Dec 28, 2021 0.38%
LCS SB ML LLC Organization, Des Moines, IA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 25, 2018 8.2%
Rci Legacy Holdings LLC Organization, Hanover, MD LLC, Owned by another organization or individual Indirect Ownership Interest Dec 28, 2021 2.36%
Senior Living VII Holding Company LLC Organization, Harrison, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 3, 2018 89.33%
Redwood Holdings LLC Organization, Hanover, MD LLC, Owned by another organization or individual Indirect Ownership Interest Dec 28, 2021 2.36%
David Reis Sub S Trust Organization, Harrison, NY 5% Or Greater Indirect Ownership Interest Aug 3, 2018 5.96%
Brett I Mehlman Individual Corporate OfficerVice President & Secretary Aug 3, 2018
Senior Living VII Operator Holdings LLC Organization, Harrison, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 3, 2018 100%
Sedgebrook Propco (SL-VII) LLC Organization, Harrison, NY Corporation, LLC Adp of the SNF Aug 3, 2018
MPM Senior Living Investors LLC Organization, Omaha, NE LLC, Owned by another organization or individual Indirect Ownership Interest Dec 28, 2021 0.46%

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 57

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

View all 57

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1013403195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 AUDUBON WAY",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693886",
            "telephone_number": "847-901-3319",
            "fax_number": "847-876-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 AUDUBON WAY",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693886",
            "telephone_number": "847-901-3319",
            "fax_number": "847-876-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDGEBROOK OPCO SL-VII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-222-6262"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RADFORD GREEN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RADFORD GREEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnshire, IL

Sources for this page

Verify at the official NPI Registry.