Active NPI
Alden Estates-Courts of Huntley, Inc.
- Skilled Nursing Facility
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ALDEN ESTATES-COURTS OF HUNTLEY, INC.
- Practice address
- 4200 W Peterson Ave Ste 140
Chicago, IL 60646-6819 - Phone
- (773) 286-6622
- NPI assigned
- Feb 26, 2018
- Last updated
- Mar 17, 2018
- 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
- Randi Schullo
- Title
- President
- Phone
- (773) 724-6324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4200 W Peterson Ave Ste 140
Chicago, IL 60646-6819
Mailing address
12140A Regency Pkwy
Huntley, IL 60142-7553
Other practice location 1
12140A Regency Pkwy
Huntley, IL 60142-7553
Phone (847) 961-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180717003938 | IL | Part A Provider - Skilled Nursing Facility | 0941557219 | Practice locations: Huntley, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1053812974. Details of each certification follow.
Skilled nursing facility certification: CCN 146186
- Legal name
- ALDEN ESTATES-COURTS OF HUNTLEY, INC.
- Doing business as
- ALDEN ESTATES OF HUNTLEY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 30, 2018
- Last certification
- Mar 6, 2025
- Beds
- 170
- Ownership / control type
- Corporation
- Multi-facility organization
- Alden Mgmnt Svcs
- Organization structure
- Corporation
- Incorporated
- Feb 5, 2013 in IL
- Enrollment address
- 12140 Regency Parkway
Buildings a and B
Huntley, IL 60142-7554 - Nursing home name
- ALDEN ESTATES CTS OF HUNTLEY
- Affiliated entity
- THE ALDEN NETWORK
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Alden Estates CTS of Huntley
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 30, 2018
- Medicare certification status
- Active
- Certified beds
- 170
- Chain
- The Alden Network
- Penalties (3 years)
- 3
National Provider Directory
National Provider Directory- Tax ID family
- Alden Estates-Courts of Huntley
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility Supplies (DME)
- Huntley, IL
- NPI 1356969687
Ownership & related parties
All disclosed owners & managing parties 19
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 | Feb 6, 2013 | 33% |
| Corporate Director | Feb 6, 2013 | 50% | |
| Alden Management Services, Inc. | Operational/Managerial Control | Jun 1, 2018 | |
| Randi Schullo Grantor TR Dated 11/02/2004 | 5% Or Greater Indirect Ownership Interest | Feb 28, 2018 | 20.77% |
| Steven M Kroll | Contracted Managing Employee | Jun 1, 2018 | 2% |
| Joseph Schullo | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Lauren Magnusson Grantor TR Dated 11/02/2004 | 5% Or Greater Indirect Ownership Interest | Feb 28, 2018 | 20.77% |
| The Alden Group, LTD. | 5% Or Greater Direct Ownership Interest | Feb 5, 2013 | 100% |
| Emily Rickman | W-2 Managing Employee | Jun 1, 2018 | 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% |
| Lycel T Martinez | W-2 Managing Employee | Jun 1, 2018 | 100% |
| Randi Schullo | Corporate Officer | Feb 6, 2013 | 33% |
| Annette G Akerman | Contracted Managing Employee | Jun 1, 2018 | |
| Charles L Elisco | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Midcap Funding IV Trust | 5% Or Greater Security Interest | Jul 1, 2018 | 30% |
| Floyd a Schlossberg | Corporate Officer | Feb 5, 2013 | 33% |
| Corporate Director | Feb 5, 2013 | 50% | |
| 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
- 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.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1033106596
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 4
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": "1519603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1053812974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12140A REGENCY PKWY",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601427553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W PETERSON AVE STE 140",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606466819",
"telephone_number": "773-286-6622"
}
],
"practiceLocations": [
{
"address_1": "12140A Regency Pkwy",
"address_purpose": "LOCATION",
"city": "Huntley",
"state": "IL",
"postal_code": "601427553",
"country_code": "US",
"telephone_number": "847-961-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALDEN ESTATES-COURTS OF HUNTLEY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-26",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "SCHULLO",
"authorized_official_first_name": "RANDI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-724-6324"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Kelly Ann Alday, LCSW
- Jonathan Carl Alde, M.D.
- Amer Aldeen, MD
- Alden Courts of Shorewood, Inc.
- Alden Courts of Waterford, L.L.C.
- Alden Lakeland Rehabilitation and Health Care Center, Inc.
- Alden Lincoln Park Rehab. and Health Care Center, Inc.
- Alden Northmoor Rehabilitation and Health Care Center, Inc.
- Alden Princeton Rehabilitation and Health Care Center, Inc.
- Alden Town Manor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.