Mercer Manor Rehabilitation LLC
Organization Active NPI Skilled Nursing Facility · Aledo, IL
NPI 1093370488 · NPPES record last updated May 13, 2019
Key facts
- NPI
- 1093370488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- MERCER MANOR REHABILITATION LLC
- Practice address
- 309 NW 9TH Ave
Aledo, IL 61231-1330 - Phone
- (309) 582-9400
- Fax
- (309) 582-9409
- NPI assigned
- May 1, 2019
- Organization subpart
- No
Authorized official
- Name
- Chaim Millman
- Title
- Ceo
- Phone
- (845) 414-3300
Owners & managing parties with NPI records 2
-
Stanley John Mathew, M.D.
Facilities with the same owner 20
Medicare Care Compare: Nursing home
- Listed as
- Mercer Manor Rehabilitation
- 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
- Dec 21, 2009
- Medicare certification status
- Active
- Certified beds
- 92 · 56.6 residents per day on average
- Chain
- Stern Consultants
- Penalties (3 years)
- 1 · fines totaling $137,996
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0646760 | Mercer Manor Rehabilitation L L C | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 146138
- Legal name
- MERCER MANOR REHABILITATION LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 21, 2009
- Last certification
- Jan 9, 2025
- Beds
- 92
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Stern Consultants
- Organization structure
- LLC · Proprietary
- Incorporated
- May 10, 2019 in NY
- Enrollment address
- 309 NW 9TH Ave
Aledo, IL 61231-1330 - Nursing home name
- MERCER MANOR REHABILITATION
- Affiliated entity
- STERN CONSULTANTS
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Boruch Sheps |
Adp of the SNF | Jun 1, 2019 | |
| Avraham Erblich |
5% Or Greater Direct Ownership Interest | Jun 1, 2019 | 10% |
| Operational/Managerial Control | Jun 1, 2019 | ||
| Adp of the SNF | Jun 1, 2019 | ||
| Chaim Millman |
5% Or Greater Direct Ownership Interest |
Jun 1, 2019 | 26% |
| Operational/Managerial Control |
Jun 1, 2019 | ||
| Managing Control - Governing Body | Jun 1, 2019 | ||
| Adp of the SNF | Jun 1, 2019 | ||
| Etn Family Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jun 1, 2019 | 12% |
| Adp of the SNF | Jun 1, 2019 | ||
| |
Indirect Ownership Interest | Jun 1, 2019 | 1.67% |
| |
Adp of the SNF | Jun 18, 2025 | |
| Benjamin Friedman |
5% Or Greater Direct Ownership Interest |
Jun 1, 2019 | 15% |
| Operational/Managerial Control | Jun 1, 2019 | ||
| Adp of the SNF | Jun 1, 2019 | ||
| |
Indirect Ownership Interest | Jun 1, 2019 | 3.33% |
| Windy Cook |
Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Nimble Navigator Partners LLC |
5% Or Greater Direct Ownership Interest | Jun 1, 2019 | 5% |
| TLM Holdings LLC |
Adp of the SNF | Jun 1, 2019 | |
| Bezalel Stern |
5% Or Greater Indirect Ownership Interest | Jun 1, 2019 | 12% |
| Adp of the SNF | Jun 1, 2019 | ||
| T Newhouse Family Trust |
5% Or Greater Indirect Ownership Interest | Jun 1, 2019 | 5.94% |
| Adp of the SNF | Jun 1, 2019 | ||
| Indirect Ownership Interest | Jun 1, 2019 | 5.94% | |
| Netz Holdings LLC |
5% Or Greater Direct Ownership Interest | Jun 1, 2019 | 24% |
| Stanley Mathew |
Operational/Managerial Control | May 1, 2025 | |
| Managing Control - Governing Body |
May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Rochel Strom |
5% Or Greater Direct Ownership Interest | Jun 1, 2019 | 20% |
| |
Adp of the SNF | Jun 18, 2025 | |
| |
Adp of the SNF | Jan 1, 2023 | |
| Eric Newhouse |
Managing Control - Governing Body | Jun 1, 2019 | |
| Trustee of the SNF | Jun 1, 2019 | ||
| Indirect Ownership Interest | Jun 1, 2021 | 0.12% | |
| Andrea Plew |
Operational/Managerial Control | Mar 10, 2020 | |
| Adp of the SNF | Mar 10, 2020 | ||
| |
Adp of the SNF | Nov 26, 2024 | |
| Temi Newhouse |
Trustee of the SNF | Jun 1, 2019 | |
| |
Adp of the SNF | Jan 1, 2023 | |
| E Newhouse Family Trust |
5% Or Greater Indirect Ownership Interest | Jun 1, 2019 | 5.94% |
| Adp of the SNF | Jun 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190617003017 | IL | Part a Provider - Skilled Nursing Facility | 6507199932 | Practice locations: Aledo, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
309 NW 9TH Ave
Aledo, IL 61231-1330
Mailing address
7B Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 414-3300
Other providers in Aledo, IL
- Mercer County Hospital Pharmacy
- Mercer County Nursing Home
- Mercer County School Dist 404
- Mercer Cty Hospital
- Mercer Health Center, S.C.
- MW Aledo Operating, LLC
- Megan Nache
- Regina Marie Nonnenmann
- Gary Stanford Olson
- Robert D Padgett
All providers in Aledo, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.