Active NPI
Alden-Lakeland Rehabilitation and Health Care Center, Inc.
- Skilled Nursing Facility
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0017319
- Legal business name
- ALDEN-LAKELAND REHABILITATION AND HEALTH CARE CENTER, INC.
- Practice address
- 820 W Lawrence Ave
Chicago, IL 60640-4213 - Phone
- (773) 769-2570
- Fax
- (773) 769-1551
- NPI assigned
- Sep 30, 2005
- Last updated
- Nov 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Floyd A Schlossberg
- Title
- President
- Phone
- (773) 286-6622
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0017319 | IL | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU |
Addresses
Primary practice location
820 W Lawrence Ave
Chicago, IL 60640-4213
Mailing address
4200 W Peterson Ave
Suite 140
Chicago, IL 60646-6074
Phone (773) 286-6622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0939 | Other | IL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110106000106 | IL | Part A Provider - Skilled Nursing Facility | 4183813165 | Practice locations: Chicago, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033106596. Details of each certification follow.
Skilled nursing facility certification: CCN 145450
- Legal name
- ALDEN-LAKELAND REHABILITATION AND HEALTH CARE CENTER, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 30, 1982
- Last certification
- May 15, 2025
- Beds
- 300
- Ownership / control type
- Corporation
- Multi-facility organization
- Alden Mgmnt Svcs
- Organization structure
- Corporation
- Incorporated
- Oct 17, 1968 in IL
- Enrollment address
- 820 W Lawrence Ave
Chicago, IL 60640-4213 - Nursing home name
- ALDEN LAKELAND REHAB & HCC
- Affiliated entity
- THE ALDEN NETWORK
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Alden Lakeland Rehab & HCC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 30, 1982
- Medicare certification status
- Active
- Certified beds
- 300
- Chain
- The Alden Network
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 7
National Provider Directory
National Provider Directory- Tax ID family
- Alden Lakeland Rehab HC Ctr
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1013372895
Ownership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Arin G Elisco | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Garrett E Magnusson | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Joan P Carl | Corporate Officer | Oct 17, 1968 | |
| Corporate Director | Oct 17, 1968 | ||
| Alden Management Services, Inc. | Operational/Managerial Control | Oct 17, 1968 | 100% |
| Esther J Davis | Operational/Managerial Control | Mar 15, 2010 | |
| Randi Schullo Grantor TR Dated 11/02/2004 | 5% Or Greater Indirect Ownership Interest | Feb 28, 2018 | 20.77% |
| Joseph Schullo | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Robert J Molitor | Operational/Managerial Control | Jun 16, 2008 | |
| Lauren Magnusson Grantor TR Dated 11/02/2004 | 5% Or Greater Indirect Ownership Interest | Feb 28, 2018 | 20.77% |
| Solomon J Mizrahi | W-2 Managing Employee | Dec 12, 2016 | 100% |
| The Alden Group, LTD. | 5% Or Greater Direct Ownership Interest | Oct 17, 1968 | 100% |
| Paige a Magnusson | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Nicole Schullo | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Randi Schullo | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 20.77% |
| Corporate Officer | Feb 16, 2010 | ||
| Charles L Elisco | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Midcap Funding IV Trust | 5% Or Greater Security Interest | Jul 10, 2010 | 32% |
| Floyd a Schlossberg | Corporate Officer | Oct 17, 1968 | |
| Corporate Director | Oct 17, 1968 | ||
| Audra Elisco Grantor TR Dated 11/02/2004 | 5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 20.77% |
Facilities with the same owner 28
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1770039075
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1851849269
Alden Management Services, Inc., The Alden Group, LTD.
-
- Skilled Nursing Facility
- Barrington, IL
- NPI 1922095470
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Evanston, IL
- NPI 1518953728
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Naperville, IL
- NPI 1679560031
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Shorewood, IL
- NPI 1548530785
Alden Management Services, Inc., The Alden Group, LTD.
-
- Skilled Nursing Facility
- Skokie, IL
- NPI 1811148158
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1053812974
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Aurora, IL
- NPI 1760470553
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- McHenry, IL
- NPI 1023005519
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Rockford, IL
- NPI 1619963816
Alden Management Services, Inc.
-
- Skilled Nursing Facility
- Des Plaines, IL
- NPI 1134115348
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447286400000",
"number": "1033106596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 W PETERSON AVE",
"address_2": "SUITE 140",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606466074",
"telephone_number": "773-286-6622",
"fax_number": "773-286-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W LAWRENCE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404213",
"telephone_number": "773-769-2570",
"fax_number": "773-769-1551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALDEN-LAKELAND REHABILITATION AND HEALTH CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-30",
"last_updated": "2015-11-12",
"status": "A",
"authorized_official_last_name": "SCHLOSSBERG",
"authorized_official_first_name": "FLOYD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-286-6622"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0017319",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0939",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Alden Northmoor Rehabilitation and Health Care Center, Inc.
- Alden Princeton Rehabilitation and Health Care Center, Inc.
- Alden Town Manor
- Alden Village North, Inc.
- Alden Village North, Inc.
- Alden-Lincoln Park Rehabilitation and Health Care Center, Inc.
- Alden-Northmoor Rehabilitation and Health Care Center, Inc.
- Alden-Princeton Rehabilitation and Health Care Center, Inc.
- Alden-Wentworth Rehabilitation and Health Care Center, Inc.
- Alison Rose Alden, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.