Organization Active NPI

Central Nursing Home LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1205222379
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CENTRAL NURSING HOME LLC
Practice address
2450 N Central Ave
Chicago, IL 60639-1316
Phone
(847) 679-7484
NPI assigned
Apr 15, 2015
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
David Lubowsky
Title
Bookkeeper
Phone
(847) 679-7484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2450 N Central Ave
Chicago, IL 60639-1316

Mailing address

6500 N Hamlin Ave
Lincolnwood, IL 60712-3904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150612001110 IL Part A Provider - Skilled Nursing Facility 8022329358 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205222379. Details of each certification follow.

Skilled nursing facility certification: CCN 145648

Legal name
CENTRAL NURSING HOME LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 4, 1989
Last certification
Aug 9, 2024
Beds
245
Ownership / control type
Corporation
Multi-facility organization
Nivram Management
Most recent change of ownership
May 1, 2015
Organization structure
LLCProprietary
Enrollment address
2450 N Central Ave
Chicago, IL 60639-1316
Nursing home name
CENTRAL NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Central Nursing HomeCCN 145648 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 4, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
245199.3 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $85,800

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Central Nursing Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Organization, Chicago, IL LLC, For-profit Adp of the SNF Oct 27, 2025
Marvin Mermelstein Family Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest May 1, 2018 45%
5% Or Greater Indirect Ownership Interest May 1, 2018 5%
Adp of the SNF May 1, 2018
Individual Adp of the SNF Mar 1, 2020
Organization, Louisville, KY Corporation, For-profit Adp of the SNF Sep 17, 2025
Individual Adp of the SNF Dec 1, 2002
Ten Chicago LLC Organization, Lincolnwood, IL LLC, Owned by another organization or individual Direct Ownership Interest May 1, 2018 5%
Organization, Louisville, KY LLC Adp of the SNF Oct 27, 2025
Organization, Glenview, IL Corporation, For-profit Adp of the SNF Sep 15, 2025
Doreen Hickman Individual Operational/Managerial Control Feb 24, 2025
Adp of the SNF Feb 24, 2025
Organization, Lincolnwood, IL Corporation, For-profit Adp of the SNF Oct 27, 2025
Organization, Lincolnwood, IL LLC, For-profit Adp of the SNF May 1, 2018
Capital One NA Organization, MC Lean, VA Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Apr 21, 2015
Organization, Skokie, IL LLC, For-profit Adp of the SNF Sep 15, 2025
Marvin Mermelstein Individual Operational/Managerial Control May 1, 2015
Managing Control - Governing BodyManager May 1, 2015
Trustee of the SNF May 1, 2015
Adp of the SNF May 1, 2015
Joseph Mermelstein Family Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest May 1, 2018 45%
Adp of the SNF May 1, 2018
Individual Trustee of the SNF May 1, 2018
Organization, Chantilly, VA LLC, For-profit Adp of the SNF Sep 25, 2025
Yakov Ryabov Individual Operational/Managerial Control May 1, 2018
Adp of the SNF May 1, 2018
Joseph Mermelstein Individual 5% Or Greater Direct Ownership Interest May 1, 2015 5%

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 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1205222379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N HAMLIN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391316",
            "telephone_number": "847-679-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "LUBOWSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "847-679-7484"
    },
    "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.