NPIMap

Organization Active NPI

Oak Lawn East Skilled Nursing Facility LLC

Doing business as Warren Barr Oak Lawn

  • Skilled Nursing Facility
  • Oak Lawn, IL
National Provider Identifier
1205540994
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OAK LAWN EAST SKILLED NURSING FACILITY LLC
Doing business as
Warren Barr Oak Lawn
Practice address
9401 S Kostner Ave
Oak Lawn, IL 60453-2697
Phone
(708) 423-7882
Fax
(708) 423-7947
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Chaim Rajchenbach
Title
Principal
Phone
(847) 745-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9401 S Kostner Ave
Oak Lawn, IL 60453-2697

Mailing address

3450 Oakton St
Skokie, IL 60076-2951
Phone (847) 745-7000

Other names 1

  • Warren Barr Oak Lawn Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230328002963 IL Part A Provider - Skilled Nursing Facility 0345614624 Practice locations: Oak Lawn, IL

Skilled nursing facility certification: CCN 145363

Legal name
OAK LAWN EAST SKILLED NURSING FACILITY, LLC
Doing business as
WARREN BARR OAK LAWN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 8, 1977
Last certification
Jan 31, 2025
Beds
122
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Legacy Healthcare
Most recent change of ownership
Feb 1, 2023
Organization structure
LLCProprietary
Enrollment address
9401 South Kostner Ave
Oak Lawn, IL 60453-2697
Nursing home name
WARREN BARR OAK LAWN
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Warren Barr Oak LawnCCN 145363 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 8, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
122110.1 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain

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
14D0681807Warren Barr Oak Lawn9401 S Kostner Avenue, Oak Lawn, IL 60453Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Menachem Shabat Individual Corporate OfficerPresident Feb 1, 2023
Jennifer Ann Benco Individual W-2 Managing EmployeeAdministrator Feb 1, 2023
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Feb 1, 2023 59.5%
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Feb 1, 2023
Oakway Operations LLC Organization, Skokie, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2023 15%
Operational/Managerial Control Feb 1, 2023
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Feb 1, 2023 25.5%

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

Affiliated clinicians 7

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1205540994",
    "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": "847-745-7000",
            "fax_number": "847-745-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 S KOSTNER AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532697",
            "telephone_number": "708-423-7882",
            "fax_number": "708-423-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LAWN EAST SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-745-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren Barr Oak Lawn",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Warren Barr Oak Lawn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.