Organization Active NPI

Asbury Pavilion Nursing & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • North Aurora, IL
National Provider Identifier
1235564204
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASBURY PAVILION NURSING & REHABILITATION CENTER, LLC
Practice address
212 Airport Rd
North Aurora, IL 60542-1724
Phone
(630) 896-1631
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Michael Zahtz
Title
Cfo
Phone
(847) 676-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

212 Airport Rd
North Aurora, IL 60542-1724

Mailing address

212 Airport Rd
North Aurora, IL 60542-1724
Phone (630) 896-1631

Other names 1

  • Asbury Gardens Nursing & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140421002029 IL Part A Provider - Skilled Nursing Facility 8224260526 Practice locations: North Aurora, IL

Skilled nursing facility certification: CCN 146170

Legal name
ASBURY PAVILION NURSING & REHABILITATION CENTER LLC
Doing business as
ASBURY GARDENS NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 5, 2014
Last certification
Nov 14, 2024
Beds
75
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
212 Airport Rd
North Aurora, IL 60542-1724
Nursing home name
ASBURY GARDENS NSG & REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Asbury Gardens NSG & RehabCCN 146170
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 5, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7559.8 residents per day on average
Penalties (3 years)
1Fines totaling $2,117

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
14D2067955Asbury Gardens Nursing and Rehabilitation212 Airport Rd, North Aurora, IL 60542Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Miriam D Seleski Individual 5% Or Greater Direct Ownership Interest Jul 29, 2013 16.66%
Adp of the SNF Jan 6, 2025
Samuel Seleski Individual 5% Or Greater Direct Ownership Interest Jul 29, 2013 16.67%
Adp of the SNF Jan 6, 2025
Susan Ahlgren Individual W-2 Managing EmployeeAd; Jan 1, 2020
Adp of the SNF Jan 6, 2025
Philip a Branshaw Individual W-2 Managing EmployeeMD; Mar 13, 2018
Adp of the SNF Jan 6, 2025
Chiquita Clemons Individual W-2 Managing EmployeeDirector of Business Office Feb 14, 2022
Moshe Kahn Individual 5% Or Greater Direct Ownership Interest Jul 29, 2013 16.67%
Corporate OfficerOfficer Jul 29, 2013
Adp of the SNF Jan 6, 2025
Rachel R Diamond Individual 5% Or Greater Direct Ownership Interest Jul 29, 2013 16.66%
Adp of the SNF Jan 6, 2025
Shoshana Kahn Individual 5% Or Greater Direct Ownership Interest Jul 29, 2013 16.67%
Adp of the SNF Jan 6, 2025
Abraham M Diamond Individual 5% Or Greater Direct Ownership Interest Jul 29, 2013 16.67%
Adp of the SNF Jan 6, 2025

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1235564204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 AIRPORT RD",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421724",
            "telephone_number": "630-896-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 AIRPORT RD",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421724",
            "telephone_number": "630-896-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASBURY PAVILION NURSING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "ZAHTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-676-1700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asbury Gardens Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Aurora, IL

Sources for this page

Verify at the official NPI Registry.