Organization Active NPI

Beecher Manor Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Beecher, IL
National Provider Identifier
1285750992
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0047738 Issued in IL
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.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Beecher Manor NRSG & Rehab CtrCCN 145538
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 21, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
128119.0 residents per day on average
Chain
Extended Care Clinical9 facilities in the chain
Penalties (3 years)
1Fines totaling $15,935

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
14D0418153Beecher Manor Nursing and Rehabilitation Center1201 Dixie, Beecher, IL 60401Certificate of waiverAug 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
LLCProprietary
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 files

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

NameRoleSinceShare
B & Z Grandchildren TR Organization, Evanston, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
Trustee of the SNF Jan 1, 2013
Extended Care Clinical LLC Organization, Evanston, IL LLC Adp of the SNF Jan 1, 2015
Roth & Co, LLP Organization, Brooklyn, NY Adp of the SNF Jan 8, 2025
Extended Care Consulting LLC Organization, Evanston, IL LLC Adp of the SNF Jan 1, 2015
Khaja Asadullah Individual Adp of the SNF Jun 10, 2015
David Aronin Individual Corporate DirectorDirector Jan 1, 2018
Levi Israel Individual Corporate OfficerCeo Jan 1, 2023
Patrisha Wozniak Individual Operational/Managerial Control Aug 13, 2024
Adp of the SNF Aug 13, 2024

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20060419000429 IL Part a Provider - Skilled Nursing Facility 7719996768 Practice locations: Beecher, IL

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0047738 IL Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.