NPIMap

Organization Active NPI

South Loop Skilled Nursing Facility LLC

Doing business as Warren Barr South Loop

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1225585987
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOUTH LOOP SKILLED NURSING FACILITY LLC
Doing business as
Warren Barr South Loop
Practice address
1725 S Wabash Ave
Chicago, IL 60616-1219
Phone
(312) 922-2777
Fax
(312) 939-1820
NPI assigned
Sep 9, 2016
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Yair Zukerman
Title
Ceo
Phone
(847) 679-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1725 S Wabash Ave
Chicago, IL 60616-1219

Mailing address

3450 Oakton St
Skokie, IL 60076-2951
Phone (847) 679-9797

Other names 1

  • WARREN BARR SOUTH LOOP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161206000710 IL Part A Provider - Skilled Nursing Facility 5294015426 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225585987. Details of each certification follow.

Skilled nursing facility certification: CCN 145632

Legal name
SOUTH LOOP SKILLED NURSING FACILITY, LLC
Doing business as
WARREN BARR SOUTH LOOP
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1989
Last certification
Feb 21, 2025
Beds
210
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jun 15, 2016
Organization structure
LLCProprietary
Enrollment address
1725 S Wabash Ave
Chicago, IL 60616-1219
Nursing home name
WARREN BARR SOUTH LOOP
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Warren Barr South LoopCCN 145632 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
210197.8 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
6Fines totaling $152,896

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Derek Temple Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
FNR Chicago SL LLC Organization, Skokie, IL Created for acquisition, LLC, For-profit 5% Or Greater Security Interest Jun 15, 2016 100%
Adp of the SNF Jun 15, 2016
Samir Bhalla Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Menachem Shabat Individual Operational/Managerial Control May 3, 2017
Managing Control - Governing BodyManager of the Manager May 3, 2017
Adp of the SNF May 3, 2017
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest May 3, 2017 50%
Adp of the SNF Jun 15, 2016
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC Operational/Managerial Control Jun 15, 2016
Adp of the SNF Dec 3, 2025
RSM US LLP Organization, Davenport, IA Consulting firm Adp of the SNF Jan 1, 2024
Lake Forest Bank & Trust Company, N.a. Organization, Lake Forest, IL Financial institution 5% Or Greater Security Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest May 3, 2017 50%
Adp of the SNF Jun 15, 2016
Individual Adp of the SNF Jun 15, 2001

Owners & managing parties with NPI records 1

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

  • Samir Bhalla, MD
    • Geriatric Medicine (Internal Medicine) Physician
    • Hillside, IL
    • NPI 1922365170

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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 3

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": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1225585987",
    "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": "847-679-9797",
            "fax_number": "847-676-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S WABASH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161219",
            "telephone_number": "312-922-2777",
            "fax_number": "312-939-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LOOP SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "ZUKERMAN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARREN BARR SOUTH LOOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.