NPIMap

Organization Active NPI

Mountain View SD Skilled Nursing Facility LLC

Doing business as Avantara Mountain View

  • Skilled Nursing Facility
  • Rapid City, SD
National Provider Identifier
1093371155
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MOUNTAIN VIEW SD SKILLED NURSING FACILITY LLC
Doing business as
Avantara Mountain View
Practice address
916 Mountain View Rd
Rapid City, SD 57702-2521
Phone
(605) 343-8577
Fax
(605) 343-0071
NPI assigned
May 14, 2019
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Chaim Rajchenbach
Title
Ceo/Principal
Phone
(847) 679-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

916 Mountain View Rd
Rapid City, SD 57702-2521

Mailing address

3450 Oakton St
Skokie, IL 60076-2951
Phone (847) 679-9797

Other names 1

  • Avantara Mountain View Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190827002851 SD Part A Provider - Skilled Nursing Facility 1658609706 Practice locations: Rapid City, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093371155. Details of each certification follow.

Skilled nursing facility certification: CCN 435040

Legal name
MOUNTAIN VIEW SD SKILLED NURSING FACILITY LLC
Doing business as
AVANTARA MOUNTAIN VIEW
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1990
Last certification
Dec 12, 2024
Beds
101
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Legacy Healthcare
Organization structure
LLCProprietary
Enrollment address
916 Mountain View Rd
Rapid City, SD 57702-2521
Nursing home name
AVANTARA MOUNTAIN VIEW
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avantara Mountain ViewCCN 435040 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10189.2 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
1Fines totaling $9,318

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Laura Karlson Individual Operational/Managerial Control Sep 26, 2021
Adp of the SNF Sep 26, 2021
Individual Indirect Ownership Interest Jul 1, 2009 4.9%
Menachem Shabat Individual Operational/Managerial Control Jul 1, 2019
Managing Control - Governing BodyManager of the Manager Jul 1, 2019
Adp of the SNF Jul 1, 2019
Individual Indirect Ownership Interest Jul 1, 2019 2.6%
Chaim Rajchenbach Individual Operational/Managerial Control Jul 1, 2019
Managing Control - Governing BodyManager of the Manager Jul 1, 2019
Adp of the SNF Jul 1, 2019
Individual Indirect Ownership Interest Jul 1, 2019 4.9%
Mountain View SD Property Holdings, LLC Organization, Skokie, IL LLC 5% Or Greater Security Interest Jul 1, 2019 100%
Adp of the SNF Jul 1, 2019
Travis Ptacek Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Indirect Ownership Interest Jul 1, 2019 2.6%
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Jul 1, 2019 42.5%
Adp of the SNF Jul 1, 2019
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC Operational/Managerial Control Jul 1, 2019
Adp of the SNF Nov 10, 2025
Oakway Operations LLC Organization, Skokie, IL LLC 5% Or Greater Direct Ownership Interest Jul 1, 2019 15%
RSM US LLP Organization, Davenport, IA Consulting firm Adp of the SNF Jan 1, 2024
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Jul 1, 2019 42.5%
Adp of the SNF Jul 1, 2019
Cibc Bank USA Organization, Chicago, IL 5% Or Greater Security Interest Jul 1, 2019
Truist Bank Organization, Charlotte, NC Financial institution 5% Or Greater Security Interest Apr 1, 2022 100%
Operational/Managerial Control Apr 1, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 89

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

View all 89

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1093371155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762951",
            "telephone_number": "847-679-9797",
            "fax_number": "847-679-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 MOUNTAIN VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022521",
            "telephone_number": "605-343-8577",
            "fax_number": "605-343-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW SD SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO/PRINCIPAL",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avantara Mountain View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.