NPIMap

Organization Active NPI

Ga HC Reit II Lincolnwood TRS Sub, LLC

  • Skilled Nursing Facility
  • Lincolnwood, IL
National Provider Identifier
1194149591
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GA HC REIT II LINCOLNWOOD TRS SUB, LLC
Practice address
7000 N McCormick Blvd
Lincolnwood, IL 60712-2726
Phone
(847) 673-7166
Fax
(847) 673-5872
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Danny Prosky
Title
President
Phone
(949) 270-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7000 N McCormick Blvd
Lincolnwood, IL 60712-2726

Mailing address

7000 N McCormick Blvd
Lincolnwood, IL 60712-2726
Phone (847) 673-7166

Other names 1

  • LINCOLNWOOD PLACE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140505000508 IL Part A Provider - Skilled Nursing Facility 3678706371 Practice locations: Lincolnwood, IL

Skilled nursing facility certification: CCN 145786

Legal name
GA HC REIT II LINCOLNWOOD TRS SUB, LLC
Doing business as
LINCOLNWOOD PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Apr 1, 1994
Last certification
Dec 13, 2024
Beds
65 (40 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Oct 29, 2013 in DE
Enrollment address
7000N McCormick Blvd
Lincolnwood, IL 60712-2726
Nursing home name
LINCOLNWOOD PLACE
Affiliated entity
SENIOR LIFESTYLE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lincolnwood PlaceCCN 145786
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4030.5 residents per day on average
Chain
Senior Lifestyle4 facilities in the chain
Penalties (3 years)
2Fines totaling $42,026

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
14D2196986Lincolnwood Place7000 McCormick Blvd, Lincolnwood, IL 60712Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Brian K Wood Individual Corporate OfficerTreasurer May 1, 2023
VTR Shi Venture, LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
CCRC Ops MB1-T LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Dec 3, 2014 100%
Brian G Fry Individual Corporate OfficerVice President May 1, 2023
Blackrock Inc Organization, New York, NY Corporation 5% Or Greater Indirect Ownership Interest May 1, 2023 6.8%
Dana J Baker Individual Corporate OfficerSecretary May 1, 2023
Ventas SSL, Inc. Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
State Street Corporation Organization, Boston, ME Corporation 5% Or Greater Indirect Ownership Interest May 1, 2023 7.3%
Christian N Cummings Individual Corporate Officer May 1, 2023
J.P. Morgan Investment Management, Inc. Organization, New York, NY Corporation 5% Or Greater Indirect Ownership Interest May 1, 2023 5.3%
SL Lincolnwood LLC Organization, Chicago, IL For-profit Operational/Managerial Control Apr 1, 2014 100%
Ventas, Inc. Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
Michael a Smith Individual Corporate OfficerChief Financial Officer May 1, 2023
VTR Shi TRS, LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
Autumn Fuesz Individual Contracted Managing Employee Jan 15, 2017
Ventas Ms, LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
The Vanguard Group Organization, Malvern, PA Corporation 5% Or Greater Indirect Ownership Interest May 1, 2023 15.9%

Facilities with the same owner 16

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

View all 16

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": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1194149591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N MCCORMICK BLVD",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122726",
            "telephone_number": "847-673-7166",
            "fax_number": "847-673-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 N MCCORMICK BLVD",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122726",
            "telephone_number": "847-673-7166",
            "fax_number": "847-673-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA HC REIT II LINCOLNWOOD TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "PROSKY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-270-9200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLNWOOD PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.