Loft Rehabilitation of Decatur LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LOFT REHABILITATION OF DECATUR LLC

Doing business as

The Loft Rehab of Decatur

Practice address

500 W McKinley Ave
Decatur, IL 62526-3281

Phone

(217) 875-0020

Fax

(217) 875-0647

NPI assigned

May 7, 2021

Last updated

May 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Aaron

Title

Manager

Phone

(847) 679-8219

Specialties & licenses 1

Addresses

Other names 1

• The Loft Rehab of Decatur Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033793872. Details of each certification follow.

• CCN 145965 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145965

Legal name

LOFT REHABILITATION OF DECATUR LLC

Doing business as

LOFT REHAB OF DECATUR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 15, 1998

Last certification

Mar 7, 2025

Beds

150

Ownership / control type

Corporation

Multi-facility organization

CT Corporation System

Most recent change of ownership

Jul 1, 2021

Organization structure

LLCProprietary

Enrollment address

500 W McKinley Ave
Decatur, IL 62526-3281

Nursing home name

LOFT REHAB OF DECATUR

Affiliated entity

THE LOFT REHABILITATION AND NURSING

Listed as

Loft Rehab of DecaturCCN 145965 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 15, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

15093.2 residents per day on average

Chain

The Loft Rehabilitation and Nursing7 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

6Fines totaling $264,841

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

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

• Michael A Ahearn, MD

  • Family Medicine Physician
  • Kewanee, IL
  • NPI 1184687717

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

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

• Jonathan Roderick Dutt, MD

  • Internal Medicine Physician
  • Decatur, IL
  • NPI 1497277263

  Nursing home

  Care Compare affiliation
• Farrukh A Kureishy, MD

  • Internal Medicine Physician
  • Clinton, IL
  • NPI 1619950060

  Nursing home

  Care Compare affiliation
• Johnny C Tenegra, M.D.

  • Family Medicine Physician
  • Decatur, IL
  • NPI 1134483936

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1033793872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MCKINLEY AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263281",
            "telephone_number": "217-875-0020",
            "fax_number": "217-875-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MCKINLEY AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263281",
            "telephone_number": "217-875-0020",
            "fax_number": "217-875-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFT REHABILITATION OF DECATUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-679-8219",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Loft Rehab of Decatur",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Living Centers Inc (Imboden Creek Living Center)
• Larry Livingston, PHD
• Daniel J. Loban, DDS
• Susan Cassandra Lock, CNM, APN
• Jonathan T Locke, MD
• Loft Rehabilitation of Rock Springs LLC (The Loft Rehab of Rock Springs)
• Melinda Sue Logan, FNP
• Suzanne E Logan, PTA
• Long Creek Fire Protection District
• Long Creek Medical LLC

• Skilled Nursing Facility in Decatur, IL
• Providers in Decatur, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.

Verify at the official NPI Registry.