Organization Active NPI

Mercer Manor Rehabilitation LLC

  • Skilled Nursing Facility
  • Aledo, IL
National Provider Identifier
1093370488
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 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
Last updated
May 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Chaim Millman
Title
Ceo
Phone
(845) 414-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190617003017 IL Part A Provider - Skilled Nursing Facility 6507199932 Practice locations: Aledo, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093370488. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mercer Manor RehabilitationCCN 146138 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
9256.6 residents per day on average
Chain
Stern Consultants22 facilities in the chain
Penalties (3 years)
1Fines totaling $137,996

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0646760Mercer Manor Rehabilitation L L C309 N W 9TH Ave, Aledo, IL 61231Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Boruch Sheps Individual Adp of the SNF Jun 1, 2019
Avraham Erblich Individual 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 Individual 5% Or Greater Direct Ownership InterestCeo Jun 1, 2019 26%
Operational/Managerial ControlCeo Jun 1, 2019
Managing Control - Governing Body Jun 1, 2019
Adp of the SNF Jun 1, 2019
Etn Family Holdings LLC Organization, Suffern, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2019 12%
Adp of the SNF Jun 1, 2019
Individual Indirect Ownership Interest Jun 1, 2019 1.67%
Organization, Dunlap, IL Consulting firm Adp of the SNF Jun 18, 2025
Benjamin Friedman Individual 5% Or Greater Direct Ownership InterestCfo Jun 1, 2019 15%
Operational/Managerial Control Jun 1, 2019
Adp of the SNF Jun 1, 2019
Individual Indirect Ownership Interest Jun 1, 2019 3.33%
Windy Cook Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Nimble Navigator Partners LLC Organization, Clifton, NJ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2019 5%
TLM Holdings LLC Organization, Pomona, NY LLC Adp of the SNF Jun 1, 2019
Bezalel Stern Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2019 12%
Adp of the SNF Jun 1, 2019
T Newhouse Family Trust Organization, Suffern, NY LLC 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 Organization, Bardonia, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2019 24%
Stanley Mathew Individual Operational/Managerial Control May 1, 2025
Managing Control - Governing BodyMedical Director May 1, 2025
Adp of the SNF May 1, 2025
Rochel Strom Individual 5% Or Greater Direct Ownership Interest Jun 1, 2019 20%
Organization, Cedarhurst, NY Consulting firm Adp of the SNF Jun 18, 2025
Individual Adp of the SNF Jan 1, 2023
Eric Newhouse Individual Managing Control - Governing Body Jun 1, 2019
Trustee of the SNF Jun 1, 2019
Indirect Ownership Interest Jun 1, 2021 0.12%
Andrea Plew Individual Operational/Managerial Control Mar 10, 2020
Adp of the SNF Mar 10, 2020
Individual Adp of the SNF Nov 26, 2024
Temi Newhouse Individual Trustee of the SNF Jun 1, 2019
Individual Adp of the SNF Jan 1, 2023
E Newhouse Family Trust Organization, Suffern, NY 5% Or Greater Indirect Ownership Interest Jun 1, 2019 5.94%
Adp of the SNF Jun 1, 2019

Owners & managing parties with NPI records 2

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

Facilities with the same owner 20

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

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1093370488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7B MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-414-3300",
            "fax_number": "845-517-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NW 9TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311330",
            "telephone_number": "309-582-9400",
            "fax_number": "309-582-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER MANOR REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "MILLMAN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-414-3300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aledo, IL

Sources for this page

Verify at the official NPI Registry.