Organization Active NPI

The Mather Evanston

  • Skilled Nursing Facility
  • Evanston, IL
National Provider Identifier
1306076484
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LC 03-08 Issued in IL
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

Updated by the provider on Feb 18, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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, theCCN 146145
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Dec 9, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3727.5 residents per day on average
Chain
Mather Senior Living Communities2 facilities in the chain

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
14D2202488Mather Evanston, the425 Davis Street, Evanston, IL 60201Certificate of waiverNov 27, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Mather Senior Living Communities LLC Organization, Evanston, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 24, 2013 100%
Mather Organization, Evanston, IL Non-profit 5% Or Greater Indirect Ownership Interest Oct 24, 2013 100%
Deann Daniel Individual Operational/Managerial Control Dec 6, 2018
Mather Organization, Evanston, IL Corporation Adp of the SNF Dec 13, 2024
Mary Leary Individual Corporate OfficerPresident and Ceo Aug 17, 2007
Mary Beth Elster Individual Operational/Managerial Control Dec 5, 2018
Niquitta Berry Individual Operational/Managerial Control Jul 15, 2019
Adp of the SNF Feb 21, 2025
Leo Kanev Individual 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.

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

Verify at the official NPI Registry.