Organization Active NPI

Alden-Lakeland Rehabilitation and Health Care Center, Inc.

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1033106596
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0017319 Issued in IL
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0939OtherILBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 & HCCCCN 145450 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 30, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
300158.8 residents per day on average
Chain
The Alden Network27 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
7Fines totaling $205,559

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Alden Lakeland Rehab HC Ctr2 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.

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.

NameRoleSinceShare
Arin G Elisco Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Garrett E Magnusson Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Joan P Carl Individual Corporate Officer Oct 17, 1968
Corporate Director Oct 17, 1968
Alden Management Services, Inc. Organization, Chicago, IL Corporation Operational/Managerial Control Oct 17, 1968 100%
Esther J Davis Individual Operational/Managerial ControlVice President of Operations-Ald Mar 15, 2010
Randi Schullo Grantor TR Dated 11/02/2004 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Feb 28, 2018 20.77%
Joseph Schullo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Robert J Molitor Individual Operational/Managerial ControlCeo-Alden Management Services, Jun 16, 2008
Lauren Magnusson Grantor TR Dated 11/02/2004 Organization, Elgin, IL 5% Or Greater Indirect Ownership Interest Feb 28, 2018 20.77%
Solomon J Mizrahi Individual W-2 Managing EmployeeAdministrator Dec 12, 2016 100%
The Alden Group, LTD. Organization, Chicago, IL Corporation 5% Or Greater Direct Ownership Interest Oct 17, 1968 100%
Paige a Magnusson Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Nicole Schullo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Randi Schullo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 20.77%
Corporate Officer Feb 16, 2010
Charles L Elisco Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Midcap Funding IV Trust Organization, Bethesda, MD Financial institution 5% Or Greater Security Interest Jul 10, 2010 32%
Floyd a Schlossberg Individual Corporate Officer Oct 17, 1968
Corporate Director Oct 17, 1968
Audra Elisco Grantor TR Dated 11/02/2004 Organization, Northbrook, IL 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.

View all 28

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

Sources for this page

Verify at the official NPI Registry.