NPIMap

Organization Active NPI

Renaissance Care Center, Inc

  • Skilled Nursing Facility
  • Canton, IL
National Provider Identifier
1063473635
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0040295 Issued in IL
Legal business name
RENAISSANCE CARE CENTER, INC
Practice address
1675 E Ash St
Canton, IL 61520-1510
Phone
(309) 647-5631
Fax
(309) 647-8957
NPI assigned
Mar 31, 2006
Last updated
Aug 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Mr. Bradley Alter
Title
Ceo
Phone
(847) 674-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0040295 IL Primary

Addresses

Primary practice location

1675 E Ash St
Canton, IL 61520-1510

Mailing address

3856 Oakton St
Suite 200
Skokie, IL 60076-3454
Phone (847) 674-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000398 IL Part A Provider - Skilled Nursing Facility 9335309905 Practice locations: Canton, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063473635. Details of each certification follow.

Skilled nursing facility certification: CCN 145793

Legal name
RENAISSANCE CARE CENTER, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 31, 1994
Last certification
Jan 9, 2025
Beds
120
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 12, 1993 in IL
Enrollment address
1675 E Ash St
Canton, IL 61520-1510
Nursing home name
RENAISSANCE CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Renaissance Care CenterCCN 145793 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 31, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12055.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Care Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Individual Direct Ownership Interest Jan 1, 2005 0.46%
Organization, Glencoe, IL Direct Ownership Interest Jan 1, 2022 2.77%
Individual Direct Ownership Interest Jan 1, 2005 0.46%
Kenneth Krock Individual Operational/Managerial Control Feb 1, 1999
Adp of the SNF Feb 1, 1999
Raanan Y Alter Individual 5% Or Greater Indirect Ownership InterestTrustee Jul 1, 2020 18.54%
Adp of the SNF Feb 1, 1991
Bradley Alter Spousal Trust Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Jul 1, 2020 18.54%
Adp of the SNF Jul 1, 2020
Individual Direct Ownership Interest Jan 1, 2000 1.85%
Beth Alter Spousal Trust Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Mar 27, 2025 18.54%
Adp of the SNF Jul 1, 2020
Organization, Hillsborough, CA Direct Ownership Interest Jun 18, 2022 3.51%
Individual Direct Ownership Interest Jan 1, 2000 1.85%
Individual Direct Ownership Interest Jan 1, 1999 1.85%
Beth Alter Individual 5% Or Greater Indirect Ownership InterestTrustee Jan 1, 2020 18.54%
Adp of the SNF Jan 1, 2020
Individual Direct Ownership Interest Jan 1, 1999 1.85%
Individual Indirect Ownership Interest Jan 1, 2019 2.77%
Rita Geller Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2016 47.41%
Individual Direct Ownership Interest Jan 1, 2005 0.46%
Bradley Alter Individual 5% Or Greater Indirect Ownership InterestTrustee Jan 1, 2020 18.54%
Corporate OfficerCeo Feb 1, 1991
Corporate DirectorCeo Feb 1, 1991
Operational/Managerial ControlCeo Feb 1, 1991
Adp of the SNF Feb 1, 1991
Gary Ashman Individual Adp of the SNF Jan 1, 2020
Direct Ownership Interest Jan 1, 2005 0.46%
Martha Jones Individual Operational/Managerial Control Feb 14, 2012
Adp of the SNF Feb 14, 2012
Howard D. Geller Family Trust Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Mar 27, 2025 47.42%
Adp of the SNF Mar 27, 2025
Individual Indirect Ownership Interest Jun 18, 2022 3.51%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1063473635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 OAKTON ST",
            "address_2": "SUITE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763454",
            "telephone_number": "847-674-4700",
            "fax_number": "847-674-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 E ASH ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615201510",
            "telephone_number": "309-647-5631",
            "fax_number": "309-647-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-674-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0040295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, IL

Sources for this page

Verify at the official NPI Registry.