Active NPI
Oregon Living & Rehabilitation Center, LLC
- Skilled Nursing Facility
- Oregon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2056636
- Legal business name
- OREGON LIVING & REHABILITATION CENTER, LLC
- Practice address
- 811 S 10TH St
Oregon, IL 61061-2129 - Phone
- (815) 732-7994
- Fax
- (815) 732-3165
- NPI assigned
- Sep 12, 2011
- Last updated
- Jul 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Moshe Herman
- Title
- Member
- Phone
- (847) 982-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2056636 | IL | Primary |
Addresses
Primary practice location
811 S 10TH St
Oregon, IL 61061-2129
Mailing address
4950 Madison St Ste 429
Skokie, IL 60077-2570
Phone (847) 982-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111104000494 | IL | Part A Provider - Skilled Nursing Facility | 6800069956 | Practice locations: Oregon, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1255613691. Details of each certification follow.
Skilled nursing facility certification: CCN 145476
- Legal name
- OREGON LIVING & REHABILITATION CENTER, LLC
- Doing business as
- OREGON LIVING & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 1, 1984
- Last certification
- Jul 31, 2024
- Beds
- 104
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 811 S 10TH St
Oregon, IL 61061-2129 - Nursing home name
- OREGON LIVING AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Oregon Living and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1984
- Medicare certification status
- Active
- Certified beds
- 104
National Provider Directory
National Provider Directory- Tax ID family
- Oregon Living Rehabilitation Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Oregon, IL
- NPI 1356609978
Ownership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Direct Ownership Interest | Sep 1, 2011 | 4.4% | |
| Adp of the SNF | Jan 28, 2026 | ||
| Direct Ownership Interest | Sep 1, 2011 | 4.4% | |
| Direct Ownership Interest | Sep 1, 2011 | 4.4% | |
| Adp of the SNF | Dec 28, 2025 | ||
| Direct Ownership Interest | Sep 1, 2011 | 2% | |
| Adp of the SNF | Sep 1, 2011 | ||
| Momentum Healthcare LLC | Operational/Managerial Control | Sep 1, 2011 | |
| Adp of the SNF | Dec 30, 2025 | ||
| Adp of the SNF | Oct 28, 2025 | ||
| Ari S Milstein | 5% Or Greater Direct Ownership Interest | Sep 1, 2011 | 7.33% |
| Dana Payton | Corporate Officer | Jan 15, 2018 | |
| Operational/Managerial Control | Jan 15, 2018 | ||
| Adp of the SNF | Jan 15, 2018 | ||
| Adp of the SNF | Jan 28, 2026 | ||
| Stuart Milstein | 5% Or Greater Direct Ownership Interest | Sep 1, 2011 | 7.33% |
| Felisha S Bettner | Corporate Officer | Jul 1, 2025 | |
| Operational/Managerial Control | Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Erik D Englehart | Corporate Officer | Oct 28, 2025 | |
| Operational/Managerial Control | Oct 28, 2025 | ||
| Adp of the SNF | Jan 28, 2026 | ||
| Direct Ownership Interest | Sep 1, 2011 | 4.4% | |
| Adp of the SNF | Jan 28, 2026 | ||
| Direct Ownership Interest | Sep 1, 2011 | 4% | |
| Elana Minkove | 5% Or Greater Direct Ownership Interest | Sep 1, 2011 | 7.34% |
| Direct Ownership Interest | Sep 1, 2011 | 4.4% | |
| Moshe Herman | 5% Or Greater Direct Ownership Interest | Sep 1, 2011 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Sandwich, IL
- NPI 1679581367
Adp of the SNF, Corporate Officer, Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Franklin Grove, IL
- NPI 1720360183
Momentum Healthcare LLC
-
- Skilled Nursing Facility
- Shabbona, IL
- NPI 1730426149
Momentum Healthcare LLC
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1315785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1255613691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 MADISON ST STE 429",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772570",
"telephone_number": "847-982-2300",
"fax_number": "847-982-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 S 10TH ST",
"city": "OREGON",
"state": "IL",
"postal_code": "610612129",
"telephone_number": "815-732-7994",
"fax_number": "815-732-3165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON LIVING & REHABILITATION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-12",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "847-982-2300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "2056636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oregon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.