NPIMap

Organization Active NPI

Wheaton Village Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Wheaton, IL
National Provider Identifier
1023589470
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WHEATON VILLAGE NURSING AND REHABILITATION CENTER LLC
Practice address
1325 Manchester Rd
Wheaton, IL 60187-4760
Phone
(630) 668-2500
NPI assigned
Dec 11, 2018
Last updated
Dec 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
David Mashiach
Title
Owner
Phone
(312) 791-0035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1325 Manchester Rd
Wheaton, IL 60187-4760

Mailing address

1325 Manchester Rd
Wheaton, IL 60187-4760
Phone (630) 668-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181227001986 IL Part A Provider - Skilled Nursing Facility 7012252786 Practice locations: Wheaton, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023589470. Details of each certification follow.

Skilled nursing facility certification: CCN 145715

Legal name
WHEATON VILLAGE NURSING AND REHABILITATION CENTER LLC
Doing business as
WHEATON VILLAGE NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 1, 1992
Last certification
Nov 1, 2024
Beds
123
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Jade Financial
Most recent change of ownership
Dec 1, 2018
Organization structure
LLCProprietary
Enrollment address
1325 Manchester Rd
Wheaton, IL 60187-4760
Nursing home name
WHEATON VILLAGE NRSG & RHB CTR
Affiliated entity
ATIED ASSOCIATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wheaton Village NRSG & RHB CtrCCN 145715 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
123109.9 residents per day on average
Chain
Atied Associates12 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 31

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

NameRoleSinceShare
Organization, Evanston, IL Owned by another organization or individual Indirect Ownership Interest Dec 1, 2018 3%
Jennifer L Miller Individual Operational/Managerial Control Dec 1, 2018
Adp of the SNF Dec 1, 2018
Yechiel Mashiach Individual 5% Or Greater Direct Ownership Interest Dec 1, 2018 20%
Operational/Managerial Control Dec 1, 2018
Adp of the SNF Dec 1, 2018
Individual Indirect Ownership Interest Dec 1, 2018 1%
Individual Trustee of the SNF Dec 1, 2018
Individual Indirect Ownership Interest Dec 1, 2018 1%
Organization, Skokie, IL LLC Adp of the SNF Dec 1, 2018
Atied Associates LLC Organization, Evanston, IL LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2018 20%
Organization, Evanston, IL Adp of the SNF Dec 1, 2018
Indirect Ownership Interest Dec 1, 2018 1%
Organization, Evanston, IL Adp of the SNF Dec 1, 2018
Indirect Ownership Interest Dec 1, 2018 1%
Prashanth Tamragouri Individual Operational/Managerial Control Dec 1, 2018
Adp of the SNF Dec 1, 2018
Individual Indirect Ownership Interest Dec 1, 2018 1%
Organization, Evanston, IL Adp of the SNF Dec 1, 2018
Indirect Ownership Interest Dec 1, 2018 1%
Yaacov Mashiach Individual 5% Or Greater Direct Ownership Interest Dec 1, 2018 20%
Operational/Managerial Control Dec 1, 2018
Adp of the SNF Dec 1, 2018
Individual Trustee of the SNF Dec 1, 2018
Organization, Chicago, IL LLC Adp of the SNF Apr 11, 2025
Organization, Evanston, IL Adp of the SNF Dec 1, 2018
Indirect Ownership Interest Dec 1, 2018 1%
Individual Trustee of the SNF Dec 1, 2018
Organization, Evanston, IL Adp of the SNF Dec 1, 2018
Indirect Ownership Interest Dec 1, 2018 1%
Organization, Chicago, IL LLC Adp of the SNF Apr 11, 2025
Individual Indirect Ownership Interest Dec 1, 2018 1%
Individual Indirect Ownership Interest Dec 1, 2018 1%
Organization, Evanston, IL Adp of the SNF Dec 1, 2018
Indirect Ownership Interest Dec 1, 2018 1%
Rita Lipshitz Individual 5% Or Greater Direct Ownership Interest Dec 1, 2018 20%
Muhammad a Shahzad Individual Operational/Managerial Control Dec 1, 2018
Adp of the SNF Dec 1, 2018
Individual Indirect Ownership Interest Dec 1, 2018 1%
Gemino Healthcare Finance LLC Organization, Philadelphia, PA LLC, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Mar 31, 2023
Organization, Evanston, IL Adp of the SNF Dec 1, 2018
Indirect Ownership Interest Dec 1, 2018 1%
Individual Trustee of the SNF Dec 1, 2018
Indirect Ownership Interest Dec 1, 2018 1%
Rhonda Mashiach Individual 5% Or Greater Direct Ownership Interest Dec 1, 2018 20%
Organization, Evanston, IL Adp of the SNF Dec 1, 2018
Indirect Ownership Interest Dec 1, 2018 3%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1023589470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MANCHESTER RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874760",
            "telephone_number": "630-668-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 MANCHESTER RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874760",
            "telephone_number": "630-668-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATON VILLAGE NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "MASHIACH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-791-0035"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.