Active NPI
The Mather Evanston
- Skilled Nursing Facility
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- LC 03-08
- Legal business name
- THE MATHER EVANSTON
- Practice address
- 425 Davis St
Evanston, IL 60201-4693 - Phone
- (847) 492-7500
- NPI assigned
- Jul 22, 2009
- 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
- Mary G. Leary
- Title
- President/Ceo
- Phone
- (847) 492-7715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | LC 03-08 | IL | Primary |
Addresses
Primary practice location
425 Davis St
Evanston, IL 60201-4693
Mailing address
425 Davis St
Evanston, IL 60201-4693
Phone (847) 492-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100604000434 | IL | Part A Provider - Skilled Nursing Facility | 5698805497 | Practice locations: Evanston, IL |
Skilled nursing facility certification: CCN 146145
- Legal name
- THE MATHER EVANSTON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Dec 9, 2010
- Last certification
- Mar 20, 2025
- Beds
- 37
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Mather
- Organization structure
- Corporation
- Incorporated
- Aug 17, 2007 in IL
- Enrollment address
- 425 Davis St
Evanston, IL 60201-4729 - Nursing home name
- MATHER EVANSTON, THE
- Affiliated entity
- MATHER SENIOR LIVING COMMUNITIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mather Evanston, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Dec 9, 2010
- Medicare certification status
- Active
- Certified beds
- 37
- Chain
- Mather Senior Living Communities
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 |
|---|---|---|---|
| 14D2202488 | Mather Evanston, the | Certificate of waiver | Nov 27, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Mather Senior Living Communities LLC | 5% Or Greater Direct Ownership Interest | Oct 24, 2013 | 100% |
| Mather | 5% Or Greater Indirect Ownership Interest | Oct 24, 2013 | 100% |
| Deann Daniel | Operational/Managerial Control | Dec 6, 2018 | |
| Mather | Adp of the SNF | Dec 13, 2024 | |
| Mary Leary | Corporate Officer | Aug 17, 2007 | |
| Mary Beth Elster | Operational/Managerial Control | Dec 5, 2018 | |
| Niquitta Berry | Operational/Managerial Control | Jul 15, 2019 | |
| Adp of the SNF | Feb 21, 2025 | ||
| Leo Kanev | Operational/Managerial Control | Dec 5, 2018 | |
| Adp of the SNF | Mar 18, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Arlington Heights, IL
- NPI 1497748131
Adp of the SNF, Operational/Managerial 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": "1248220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1306076484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 DAVIS ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014693",
"telephone_number": "847-492-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 DAVIS ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014693",
"telephone_number": "847-492-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MATHER EVANSTON",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-22",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "LEARY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "847-492-7715"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "LC 03-08",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.