Active NPI
Beecher Manor Nursing and Rehabilitation Center, LLC
- Skilled Nursing Facility
- Beecher, IL
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Facilities with the same owner4
- Affiliated clinicians4
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- Medicare participation
- Skilled nursing facility certification: CCN 145538
- All disclosed owners & managing parties8
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- NPI Registry JSON
- Other providers in Beecher, IL
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0047738
- Legal business name
- BEECHER MANOR NURSING AND REHABILITATION CENTER, LLC
- Practice address
- 1201 Dixie Hwy
Beecher, IL 60401-4040 - Phone
- (708) 946-2600
- Fax
- (708) 946-9411
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Levi Israel
- Title
- Ceo
- Phone
- (847) 905-3000
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Frankfort, IL
- NPI 1578515409
Adp of the SNF
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Dolton, IL
- NPI 1386966919
B & Z Grandchildren TR
-
- Skilled Nursing Facility
- Waukegan, IL
- NPI 1457822199
B & Z Grandchildren TR
-
- Skilled Nursing Facility
- Crete, IL
- NPI 1740608736
B & Z Grandchildren TR
-
- Skilled Nursing Facility
- Camp Point, IL
- NPI 1023006848
B & Z Grandchildren TR
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Frankfort, IL
- NPI 1578515409
Nursing home
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Beecher Manor NRSG & Rehab Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 21, 1986
- Medicare certification status
- Active
- Certified beds
- 128
- Chain
- Extended Care Clinical
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0418153 | Beecher Manor Nursing and Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 145538
Medicare enrollment files- Legal name
- BEECHER MANOR NURSING AND REHABILITATION CENTER, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 21, 1986
- Last certification
- Aug 30, 2024
- Beds
- 130 (128 certified)
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Oct 3, 2005 in IL
- Enrollment address
- 1201 Dixie Hwy
Beecher, IL 60401-4040 - Nursing home name
- BEECHER MANOR NRSG & REHAB CTR
- Affiliated entity
- EXTENDED CARE CLINICAL
All disclosed owners & managing parties 8
Medicare enrollment filesAs 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 |
|---|---|---|---|
| B & Z Grandchildren TR | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 | 100% |
| Trustee of the SNF | Jan 1, 2013 | ||
| Extended Care Clinical LLC | Adp of the SNF | Jan 1, 2015 | |
| Roth & Co, LLP | Adp of the SNF | Jan 8, 2025 | |
| Extended Care Consulting LLC | Adp of the SNF | Jan 1, 2015 | |
| Khaja Asadullah | Adp of the SNF | Jun 10, 2015 | |
| David Aronin | Corporate Director | Jan 1, 2018 | |
| Levi Israel | Corporate Officer | Jan 1, 2023 | |
| Patrisha Wozniak | Operational/Managerial Control | Aug 13, 2024 | |
| Adp of the SNF | Aug 13, 2024 |
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060419000429 | IL | Part a Provider - Skilled Nursing Facility | 7719996768 | Practice locations: Beecher, IL |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0047738 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1201 Dixie Hwy
Beecher, IL 60401-4040
Mailing address
2201 Main St
Evanston, IL 60202-1519
Phone (847) 905-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2025.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1285750992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 MAIN ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021519",
"telephone_number": "847-905-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 DIXIE HWY",
"city": "BEECHER",
"state": "IL",
"postal_code": "604014040",
"telephone_number": "708-946-2600",
"fax_number": "708-946-9411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEECHER MANOR NURSING AND REHABILITATION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "ISRAEL",
"authorized_official_first_name": "LEVI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-905-3000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0047738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beecher, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.