NPIMap

Organization Active NPI

Astoria Place Skilled Nursing Facility LLC

Doing business as Astoria Place Living & Rehab

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1053783407
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASTORIA PLACE SKILLED NURSING FACILITY LLC
Doing business as
Astoria Place Living & Rehab
Practice address
6300 N California Ave
Chicago, IL 60659-1702
Phone
(773) 973-1900
Fax
(773) 973-1904
NPI assigned
Oct 26, 2015
Last updated
Oct 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Yair Zuckerman
Title
Ceo
Phone
(847) 679-9797

Specialties & licenses 1

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

Addresses

Primary practice location

6300 N California Ave
Chicago, IL 60659-1702

Mailing address

7040 N Ridgeway Ave
Lincolnwood, IL 60712-2620
Phone (847) 679-9797

Other names 1

  • ASTORIA PLACE LIVING & REHAB Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151204002172 IL Part A Provider - Skilled Nursing Facility 3072813526 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053783407. Details of each certification follow.

Skilled nursing facility certification: CCN 145634

Legal name
ASTORIA PLACE SKILLED NURSING FACILITY, LLC
Doing business as
ASTORIA PLACE LIVING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1989
Last certification
Nov 22, 2024
Beds
164
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jul 27, 2015 in IL
Enrollment address
6300N California Ave
Chicago, IL 60659-1702
Nursing home name
ASTORIA PLACE LIVING & REHAB
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Astoria Place Living & RehabCCN 145634 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
164153.9 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
1Fines totaling $4,784

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2053515Astoria Place Living & Rehab6300 N California Ave, Chicago, IL 60659Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Individual Adp of the SNF Nov 1, 2015
Ezra Suss Individual Operational/Managerial Control Jan 31, 2023
Adp of the SNF Jan 31, 2023
Astoria Healthcare Properties LLC Organization, Skokie, IL Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Security Interest Nov 1, 2015 100%
Adp of the SNF Nov 1, 2015
Individual Adp of the SNF Nov 1, 2015
Menachem Shabat Individual Operational/Managerial Control Nov 1, 2015
Managing Control - Governing BodyManager of the Manager May 3, 2017
Adp of the SNF Nov 1, 2015
Roth & Co, LLP Organization, Brooklyn, NY Consulting firm Adp of the SNF Jan 1, 2014
Organization, Skokie, IL Adp of the SNF Nov 1, 2015
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest May 3, 2017 50%
Adp of the SNF Nov 1, 2015
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC Operational/Managerial Control Nov 1, 2015
Adp of the SNF Apr 10, 2025
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest May 3, 2017 50%
Adp of the SNF Nov 1, 2015
Dale a Swims Individual Operational/Managerial Control Nov 1, 2015
Adp of the SNF Nov 1, 2015
VNB New York LLC Organization, Morristown, NJ Financial institution 5% Or Greater Security Interest Nov 1, 2015
Operational/Managerial Control Nov 1, 2015

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 89

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

View all 89

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1053783407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 N RIDGEWAY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122620",
            "telephone_number": "847-679-9797",
            "fax_number": "847-676-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591702",
            "telephone_number": "773-973-1900",
            "fax_number": "773-973-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA PLACE SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASTORIA PLACE LIVING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.