NPIMap

Organization Active NPI

Elmwood Terrace Healthcare Inc

  • Skilled Nursing Facility
  • Aurora, IL
National Provider Identifier
1083710883
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0046128 Issued in IL
Legal business name
ELMWOOD TERRACE HEALTHCARE INC
Practice address
1017 W Galena Blvd
Aurora, IL 60506-3753
Phone
(630) 897-3100
Fax
(630) 897-3102
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Mr. David Abell
Title
C.F.O
Phone
(773) 338-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0046128 IL Primary

Addresses

Primary practice location

1017 W Galena Blvd
Aurora, IL 60506-3753

Mailing address

1017 W Galena Blvd
Aurora, IL 60506-3753
Phone (630) 897-3100

Other identifiers 1

IdentifierTypeStateIssuer
6002844OtherILFACILITY ID

Other names 1

  • Elmwood Center Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030523000071 IL Part A Provider - Skilled Nursing Facility 1153231535 Practice locations: Aurora, IL

Skilled nursing facility certification: CCN 145663

Legal name
ELMWOOD TERRACE HEALTHCARE, INC
Doing business as
ELMWOOD CENTER NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1990
Last certification
Apr 23, 2025
Beds
68
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Highlight Healthcare of Aurora
Organization structure
CorporationProprietary
Incorporated
Jun 26, 2002 in IL
Enrollment address
1017 W Galena Blvd
Aurora, IL 60506-3753
Nursing home name
LA BELLA OF AURORA

Care Compare: Nursing home

Medicare Care Compare
Listed as
La Bella of AuroraCCN 145663
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6860.8 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $212,548

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Tamar Abell Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2010 23%
Gittel Brandman Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2010 13%
Matt Gotter Individual Operational/Managerial ControlMedical Coordinator May 1, 2014 25%
Ari Haas Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2010 40%
Joseph Brandman Individual Corporate OfficerCoo Jun 1, 2010 30%
Corporate DirectorCoo Jun 1, 2010 30%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1083710883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063753",
            "telephone_number": "630-897-3100",
            "fax_number": "630-897-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063753",
            "telephone_number": "630-897-3100",
            "fax_number": "630-897-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD TERRACE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "ABELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "C.F.O",
        "authorized_official_telephone_number": "773-338-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "6002844",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmwood Center Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.