Organization Active NPI

Morris Nursing, LLC

  • Skilled Nursing Facility
  • Morris, IL
National Provider Identifier
1295579506
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MORRIS NURSING, LLC
Practice address
1223 Edgewater Dr
Morris, IL 60450-2504
Phone
(815) 416-6500
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
John Coglianese
Title
Authorized Official
Phone
(815) 416-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1223 Edgewater Dr
Morris, IL 60450-2504

Mailing address

7101 N Cicero Ave Ste 200
Lincolnwood, IL 60712-2112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250123000897 IL Part A Provider - Skilled Nursing Facility 1759815947 Practice locations: Morris, IL

Skilled nursing facility certification: CCN 146077

Legal name
MORRIS NURSING, LLC
Doing business as
SERENITY ESTATES OF MORRIS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 14, 2005
Last certification
Oct 11, 2024
Beds
142
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
1223 Edgewater Dr
Morris, IL 60450-2504
Nursing home name
SERENITY ESTATES AT MORRIS
Affiliated entity
SERENITY ESTATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Serenity Estates at MorrisCCN 146077
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 14, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
142119.4 residents per day on average
Chain
Serenity Estates5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
FNR Morris LLC Organization, Westchester, IL Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Aug 1, 2024
Jennifer Daugherty Individual Operational/Managerial Control Aug 1, 2024
Managing Control - Governing BodyManager Aug 1, 2024
Adp of the SNF Aug 1, 2024
Direct Ownership Interest Aug 1, 2024 50%
Dmitry Godin Individual Adp of the SNF Aug 1, 2024
Individual Adp of the SNF Jan 23, 2025
GS Management LLC Organization, Lincolnwood, IL LLC, Consulting firm Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
John Coglianese Individual Operational/Managerial Control Sep 1, 2024
Managing Control - Governing BodyManager Aug 1, 2024
Adp of the SNF Aug 1, 2024
Direct Ownership Interest Aug 1, 2024 50%
Peter Roumeliotis Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Suzanne D Day Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Mar 11, 2025

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 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1295579506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 N CICERO AVE STE 200",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 EDGEWATER DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502504",
            "telephone_number": "815-416-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "COGLIANESE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "815-416-6500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.