Organization Active NPI

Oregon Living & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Oregon, IL
National Provider Identifier
1255613691
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2056636 Issued in IL
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 145476 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10465.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Oregon Living Rehabilitation Center2 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 21

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

NameRoleSinceShare
Individual Direct Ownership Interest Sep 1, 2011 4.4%
Organization, Chicago, IL Adp of the SNF Jan 28, 2026
Individual Direct Ownership Interest Sep 1, 2011 4.4%
Individual Direct Ownership Interest Sep 1, 2011 4.4%
Organization, Saint Louis, MO Corporation Adp of the SNF Dec 28, 2025
Individual Direct Ownership Interest Sep 1, 2011 2%
Organization, Skokie, IL LLC Adp of the SNF Sep 1, 2011
Momentum Healthcare LLC Organization, Skokie, IL LLC, Management services company Operational/Managerial Control Sep 1, 2011
Adp of the SNF Dec 30, 2025
Individual Adp of the SNF Oct 28, 2025
Ari S Milstein Individual 5% Or Greater Direct Ownership InterestMember Sep 1, 2011 7.33%
Dana Payton Individual Corporate OfficerRegional Director Jan 15, 2018
Operational/Managerial Control Jan 15, 2018
Adp of the SNF Jan 15, 2018
Organization, Oregon, IL Corporation Adp of the SNF Jan 28, 2026
Stuart Milstein Individual 5% Or Greater Direct Ownership InterestMember Sep 1, 2011 7.33%
Felisha S Bettner Individual Corporate OfficerAdministrator Jul 1, 2025
Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Erik D Englehart Individual Corporate OfficerMedical Director Oct 28, 2025
Operational/Managerial Control Oct 28, 2025
Adp of the SNF Jan 28, 2026
Individual Direct Ownership Interest Sep 1, 2011 4.4%
Organization, Lincolnwood, IL LLC Adp of the SNF Jan 28, 2026
Individual Direct Ownership Interest Sep 1, 2011 4%
Elana Minkove Individual 5% Or Greater Direct Ownership InterestMember Sep 1, 2011 7.34%
Individual Direct Ownership Interest Sep 1, 2011 4.4%
Moshe Herman Individual 5% Or Greater Direct Ownership InterestMember 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.

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 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

Verify at the official NPI Registry.