Active NPI
Transitional Care of Lake County, LLC
Doing business as Thrive Lake County
- Skilled Nursing Facility
- Mundelein, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0054049
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Winchester House
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 County
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 21, 1982
- Medicare certification status
- Active
- Certified beds
- 185
- Penalties (3 years)
- 2
National Provider Directory
National Provider Directory- Tax ID family
- County of Lake
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ajay a Madhani | Operational/Managerial Control | Feb 4, 2021 | |
| Adp of the SNF | Feb 4, 2021 | ||
| The S/K Partnership LP | Limited Partnership Interest | Dec 31, 2015 | 1% |
| KCB Real Estate VI LP | Limited Partnership Interest | Dec 7, 2018 | 80% |
| Indirect Ownership Interest | Dec 7, 2018 | 80% | |
| Lockwood Investments LLC | Limited Partnership Interest | Dec 7, 2018 | 5% |
| Indirect Ownership Interest | Dec 7, 2018 | 5% | |
| Cloch Fam TR Brian J Cloch Ttee | General Partnership Interest | Dec 7, 2018 | 6.75% |
| S/K Partnership | Limited Partnership Interest | Dec 7, 2018 | 1.5% |
| Adp of the SNF | Mar 29, 2021 | ||
| Bradley S Haber Revocable Trust Uad October 15 2013 | General Partnership Interest | Dec 7, 2018 | 6.75% |
| Indirect Ownership Interest | Dec 7, 2018 | 6.75% | |
| Anne Berg | Operational/Managerial Control | Dec 5, 2022 | |
| Adp of the SNF | Dec 5, 2022 | ||
| Ih KCB Mundelein, LLC | Adp of the SNF | Dec 19, 2019 | |
| Indirect Ownership Interest | Dec 7, 2018 | 100% | |
| Bradley S Haber | 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 | General Partnership Interest | Dec 7, 2018 | 15% |
| Indirect Ownership Interest | Dec 7, 2018 | 15% | |
| Brian J Cloch | 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 | 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.
-
- Hospitalist Physician
- Buffalo Grove, IL
- NPI 1841271947
Adp of the SNF, Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.