Organization Active NPI

Monmouth Rehab and Nursing LLC

  • Skilled Nursing Facility
  • Monmouth, IL
National Provider Identifier
1194524975
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MONMOUTH REHAB AND NURSING LLC
Practice address
117 S I St
Monmouth, IL 61462-1544
Phone
(309) 734-3811
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Benjamin Friedman
Title
Cfo
Phone
(845) 414-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

117 S I St
Monmouth, IL 61462-1544

Mailing address

117 S I St
Monmouth, IL 61462-1544
Phone (309) 734-3811

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 20

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

View all 20

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Monmouth Rehab and NursingCCN 146057
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5837.5 residents per day on average
Chain
Stern Consultants22 facilities in the chain
Penalties (3 years)
5Fines totaling $233,350

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250604004177 IL Part A Provider - Skilled Nursing Facility 4385153832 Practice locations: Monmouth, IL

Skilled nursing facility certification: CCN 146057

Legal name
MONMOUTH REHAB AND NURSING LLC
Doing business as
MONMOUTH REHAB AND NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 2003
Last certification
Dec 20, 2024
Beds
59 (58 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Stern Consultants
Organization structure
LLCProprietary
Enrollment address
117 S I St
Monmouth, IL 61462-1544
Nursing home name
MONMOUTH REHAB AND NURSING
Affiliated entity
STERN CONSULTANTS

All disclosed owners & managing parties 33

Medicare enrollment files

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

NameRoleSinceShare
Tlco Holdings LLC Organization, Pomona, NY LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 23.5%
Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Direct Ownership Interest Apr 1, 2025 23.5%
BSF Family Holdings LLC Organization, Pomona, NY LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 15%
Adp of the SNF Apr 1, 2025
Rebecca Anderson Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Boruch Sheps Individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 10%
Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Direct Ownership Interest Apr 1, 2025 10%
Organization, Pomona, NY LLC Adp of the SNF Apr 1, 2025
Individual Trustee of the SNF Apr 1, 2025
Avraham Erblich Individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 16%
Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Direct Ownership Interest Apr 1, 2025 16%
Individual Adp of the SNF Apr 1, 2025
Individual Adp of the SNF Apr 1, 2025
Direct Ownership Interest Apr 1, 2025 4.5%
Etn Family Holdings LLC Organization, Suffern, NY LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 23.5%
Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Direct Ownership Interest Apr 1, 2025 23.5%
Individual Direct Ownership Interest Apr 1, 2025 1.5%
Individual Adp of the SNF Apr 1, 2025
Organization, Plainfield, IL Adp of the SNF Apr 28, 2025
Benjamin Friedman Individual Corporate OfficerCfo Apr 1, 2025
Trustee of the SNF Apr 1, 2025
Adp of the SNF Apr 1, 2025
Indirect Ownership Interest Apr 1, 2025 0.15%
BSF 2025 Family Trust Organization, Pomona, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2025 7.4%
Individual Direct Ownership Interest Apr 1, 2025 2%
Individual Trustee of the SNF Apr 1, 2025
Organization, Cedarhurst, NY Adp of the SNF Apr 28, 2025
Individual Direct Ownership Interest Apr 1, 2025 0.99%
Indirect Ownership Interest Apr 1, 2025 0.99%
Organization, Pomona, NY LLC Adp of the SNF Apr 29, 2025
T Newhouse Family Trust Organization, Suffern, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2025 11.6%
Adp of the SNF Apr 1, 2025
Indirect Ownership Interest Apr 1, 2025 11.6%
Stanley Mathew Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Individual Trustee of the SNF Apr 1, 2025
Individual Direct Ownership Interest Apr 1, 2025 2%
Indirect Ownership Interest Apr 1, 2025 2%
Com Family Trust Organization, Pomona, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2025 11.6%
Adp of the SNF Apr 1, 2025
BF16 Family Trust Organization, Pomona, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2025 7.4%
Indirect Ownership Interest Apr 1, 2025 7.4%
Individual Trustee of the SNF Apr 1, 2025
Adp of the SNF Apr 1, 2025
Direct Ownership Interest Apr 1, 2025 0.24%
Indirect Ownership Interest Apr 1, 2025 0.24%
TLM Family Trust Organization, Pomona, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2025 11.6%
Adp of the SNF Apr 1, 2025
Indirect Ownership Interest Apr 1, 2025 11.6%
Individual Trustee of the SNF Apr 1, 2025
Direct Ownership Interest Apr 1, 2025 0.24%
Indirect Ownership Interest Apr 1, 2025 0.24%
Organization, Spring Valley, NY Adp of the SNF Apr 1, 2025
E Newhouse Family Trust Organization, Suffern, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2025 11.6%
Adp of the SNF Apr 1, 2025
Indirect Ownership Interest Apr 1, 2025 11.6%
Organization, Clifton, NJ LLC, Owned by another organization or individual Direct Ownership Interest Apr 1, 2025 3%
Individual Direct Ownership Interest Apr 1, 2025 1%

National Provider Directory

National Provider Directory

Locations

117 S I St
Monmouth, IL 61462
Phone (309) 221-1241

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1194524975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S I ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621544",
            "telephone_number": "309-734-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S I ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621544",
            "telephone_number": "309-734-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH REHAB AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "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 Monmouth, IL

Sources for this page

Verify at the official NPI Registry.