Organization Active NPI

Foster Health & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1104181015
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FOSTER HEALTH & REHABILITATION CENTER LLC
Practice address
2840 W Foster Ave
Chicago, IL 60625-3506
Phone
(773) 561-2040
Fax
(773) 561-2060
NPI assigned
Jul 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Judd Schneider
Title
Manager
Phone
(773) 919-9813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2840 W Foster Ave
Chicago, IL 60625-3506

Mailing address

2840 W Foster Ave
Chicago, IL 60625-3506
Phone (773) 561-2040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140417000042 IL Part A Provider - Skilled Nursing Facility 0143452581 Practice locations: Chicago, IL

Skilled nursing facility certification: CCN 146167

Legal name
FOSTER HEALTH & REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 24, 2014
Last certification
Oct 11, 2024
Beds
46
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jul 1, 2012 in IL
Enrollment address
2840 W Foster Ave
Chicago, IL 60625-3506
Nursing home name
FOSTER HEALTH & REHAB CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Foster Health & Rehab CenterCCN 146167
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 24, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4635.0 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
14D2052737Foster Health & Rehabilitation Center2840 W Foster Ave, Chicago, IL 60625Certificate of waiverJan 16, 2027

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
Mendel Schneider Individual 5% Or Greater Direct Ownership Interest Jul 1, 2012 75%
General Partnership Interest Jul 1, 2012 75%
Corporate OfficerManager Jul 1, 2012 100%
Adp of the SNF Jul 1, 2012
Debra Brown Individual Operational/Managerial Control Jul 7, 2019
Adp of the SNF Jul 7, 2019
Vivek Anand Gupta Individual Operational/Managerial Control May 1, 2021
Adp of the SNF May 1, 2021
Shalom Properties Organization, Chicago, IL LLC Adp of the SNF Jul 1, 2012
Judd Schneider Individual 5% Or Greater Direct Ownership Interest Jul 1, 2012 25%
General Partnership Interest Jul 1, 2012 25%
Corporate OfficerManager Jul 1, 2012 100%
Adp of the SNF Jul 1, 2012

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1104181015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253506",
            "telephone_number": "773-561-2040",
            "fax_number": "773-561-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253506",
            "telephone_number": "773-561-2040",
            "fax_number": "773-561-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER HEALTH & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "JUDD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-919-9813"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.