Organization Active NPI

Transitional Care of Lake County, LLC

Doing business as Thrive Lake County

  • Skilled Nursing Facility
  • Mundelein, IL
National Provider Identifier
1306201009
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0054049 Issued in IL
Legal business name
TRANSITIONAL CARE OF LAKE COUNTY, LLC
Doing business as
Thrive Lake County
Winchester House
Practice address
850 E US Highway 45
Mundelein, IL 60060-4612
Phone
(847) 377-7200
Fax
(480) 436-5749
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Brad Haber
Title
Manager
Phone
(312) 982-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0054049 IL Primary

Addresses

Primary practice location

850 E US Highway 45
Mundelein, IL 60060-4612

Mailing address

5 Revere Dr Ste 200
Northbrook, IL 60062-8000
Phone (847) 377-7200

Other practice location 1

1125 N Milwaukee Ave
Libertyville, IL 60048-1304
Phone (847) 377-7200

Other names 2

  • Thrive Lake County Doing business as
  • Winchester House Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160212001163 IL Part A Provider - Skilled Nursing Facility 6608170543 Practice locations: Mundelein, IL

Skilled nursing facility certification: CCN 145460

Legal name
TRANSITIONAL CARE OF LAKE COUNTY LLC
Doing business as
THRIVE OF LAKE COUNTY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 21, 1982
Last certification
Mar 13, 2025
Beds
224 (185 certified)
Ownership / control type
Corporation
Multi-facility organization
Transitional Care
Most recent change of ownership
Aug 1, 2015
Organization structure
LLCProprietary
Enrollment address
850 E US Highway 45
Mundelein, IL 60060-4612
Nursing home name
THRIVE OF LAKE COUNTY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Thrive of Lake CountyCCN 145460 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 21, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
185153.3 residents per day on average
Penalties (3 years)
2Fines totaling $29,734

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
County of Lake2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

850 E US Highway 45
Mundelein, IL 60060
Phone (224) 864-7400

6400 Shafer Ct
Ste 600
Rosemont, IL 60018
Phone (773) 654-1690

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Ajay a Madhani Individual Operational/Managerial Control Feb 4, 2021
Adp of the SNF Feb 4, 2021
The S/K Partnership LP Organization, Dallas, TX Owned by another organization or individual Limited Partnership Interest Dec 31, 2015 1%
KCB Real Estate VI LP Organization, Pasadena, CA Limited Partnership Interest Dec 7, 2018 80%
Indirect Ownership Interest Dec 7, 2018 80%
Lockwood Investments LLC Organization, Saint Louis, MO LLC, Owned by another organization or individual Limited Partnership Interest Dec 7, 2018 5%
Indirect Ownership Interest Dec 7, 2018 5%
Cloch Fam TR Brian J Cloch Ttee Organization, Riverwoods, IL Owned by another organization or individual General Partnership Interest Dec 7, 2018 6.75%
S/K Partnership Organization, Dallas, TX For-profit Limited Partnership Interest Dec 7, 2018 1.5%
Individual Adp of the SNF Mar 29, 2021
Bradley S Haber Revocable Trust Uad October 15 2013 Organization, Winnetka, IL Owned by another organization or individual General Partnership Interest Dec 7, 2018 6.75%
Indirect Ownership Interest Dec 7, 2018 6.75%
Anne Berg Individual Operational/Managerial Control Dec 5, 2022
Adp of the SNF Dec 5, 2022
Ih KCB Mundelein, LLC Organization, Northbrook, IL LLC Adp of the SNF Dec 19, 2019
Indirect Ownership Interest Dec 7, 2018 100%
Bradley S Haber Individual General Partnership Interest Dec 7, 2018 6.75%
Operational/Managerial Control Dec 7, 2018
Adp of the SNF Dec 7, 2018
Direct Ownership Interest Dec 7, 2018 6.75%
Ih Mundelein, LLC Organization, Northbrook, IL LLC, Owned by another organization or individual General Partnership Interest Dec 7, 2018 15%
Indirect Ownership Interest Dec 7, 2018 15%
Brian J Cloch Individual General Partnership Interest Dec 7, 2018 6.75%
Operational/Managerial Control Dec 7, 2018
Adp of the SNF Dec 7, 2018
Direct Ownership Interest Dec 7, 2018 6.75%
Innovative Health LLC Organization, Rosemont, IL Owned by another organization or individual General Partnership Interest Dec 31, 2015 10%
Operational/Managerial Control Dec 31, 2015 10%

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 4

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": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1306201009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 200",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628000",
            "telephone_number": "847-377-7200",
            "fax_number": "480-436-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E US HIGHWAY 45",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604612",
            "telephone_number": "847-377-7200",
            "fax_number": "480-436-5749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600481304",
            "country_code": "US",
            "telephone_number": "847-377-7200",
            "fax_number": "847-377-7205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSITIONAL CARE OF LAKE COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-982-1717"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0054049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Lake County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winchester House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winchester House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mundelein, IL

Sources for this page

Verify at the official NPI Registry.