NPIMap

Organization Active NPI

Ridgeview Health and Rehab Center LLC

  • Skilled Nursing Facility
  • Oblong, IL
National Provider Identifier
1083371215
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RIDGEVIEW HEALTH AND REHAB CENTER LLC
Practice address
413 Ridge LN
Oblong, IL 62449-1635
Phone
(618) 592-4228
NPI assigned
Nov 22, 2021
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Shalom Lichtman
Title
Medicare Authorized Official
Phone
(917) 873-2936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

413 Ridge LN
Oblong, IL 62449-1635

Mailing address

575 Route 70
Brick, NJ 08723-4042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220104002653 IL Part A Provider - Skilled Nursing Facility 5193116903 Practice locations: Oblong, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083371215. Details of each certification follow.

Skilled nursing facility certification: CCN 146096

Legal name
RIDGEVIEW HEALTH AND REHAB CENTER LLC
Doing business as
RIDGEVIEW HEALTH AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 30, 2005
Last certification
Oct 10, 2024
Beds
55
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Oct 1, 2025
Organization structure
LLCProprietary
Enrollment address
413 Ridge LN
Oblong, IL 62449-1635
Nursing home name
THE HAVEN OF RIDGEVIEW
Affiliated entity
CREST HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Haven of RidgeviewCCN 146096 · All quality measures
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 30, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5541.7 residents per day on average
Chain
Crest Healthcare Consulting11 facilities in the chain
Penalties (3 years)
3Fines totaling $84,882

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ridgeview Health and Rehab Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Mrs Family Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2021 21%
Shalom Lichtman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2021 18.5%
W-2 Managing EmployeeFacility Administrator Dec 1, 2021
Operational/Managerial ControlManager Dec 1, 2021
Meir Singer Individual Corporate OfficerPresident Dec 1, 2021
Yisrael Friedman Individual Corporate OfficerVice President Dec 1, 2021
Crest Illinois Holdco III LLC Organization, Brick, NJ LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 95%
Operational/Managerial Control Dec 1, 2021
Mdatas Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2021 21%
Eric N Clark Individual 5% Or Greater Direct Ownership Interest Dec 1, 2021 5%
Crest III TBD Holdco LLC Organization, Brick, NJ LLC, Holding company 5% Or Greater Indirect Ownership Interest Dec 1, 2021 95%
Fejcc Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2021 21%
Moshe Weintraub Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2021 6.7%

Facilities with the same owner 14

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

View all 14

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": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1083371215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 RIDGE LN",
            "city": "OBLONG",
            "state": "IL",
            "postal_code": "624491635",
            "telephone_number": "618-592-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW HEALTH AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "LICHTMAN",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "917-873-2936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oblong, IL

Sources for this page

Verify at the official NPI Registry.