Edwardsville Nursing and Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EDWARDSVILLE NURSING AND REHAB CENTER LLC

Doing business as

La Bella of Edwardsville

Practice address

6277 Center Grove Rd
Edwardsville, IL 62025-3309

Phone

(618) 659-0605

NPI assigned

Nov 2, 2023

Organization subpart

No

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

Authorized official

Name

Akiva Garfinkel

Title

Manager

Phone

(773) 899-6924

Specialties & licenses 1

Addresses

Other names 1

• La Bella of Edwardsville Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Skilled nursing facility certification: CCN 145846

Legal name

EDWARDSVILLE NURSING AND REHAB CENTER LLC

Doing business as

LA BELLA OF EDWARDSVILLE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 20, 1995

Last certification

May 21, 2024

Beds

120

Ownership / control type

Individual

Most recent change of ownership

Dec 1, 2023

Organization structure

LLCProprietary

Enrollment address

6277 Center Grove Rd
Edwardsville, IL 62025-3309

Nursing home name

LA BELLA OF EDWARDSVILLE

Affiliated entity

JENMAX GROUP

Listed as

La Bella of EdwardsvilleCCN 145846 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 20, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120106.2 residents per day on average

Chain

Jenmax Group7 facilities in the chain

Penalties (3 years)

7Fines totaling $138,662

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 16

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Dominic Gaziano, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1275699209

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Alton Nursing and Rehab Center LLC

  • Skilled Nursing Facility
  • Alton, IL
  • NPI 1316710163

  6277 Center Grove Road LLC, CCG Barbados, LLC, Il2 Opco Holdings LLC, Il2 Opco Inv LLC, Jenmax Holdings LLC

  CMS ownership
• Clifton Nursing and Rehab Center LLC

  • Skilled Nursing Facility
  • Clifton, IL
  • NPI 1265263438

  Jenmax Holdings LLC

  CMS ownership
• Danville Nursing and Rehab Center LLC

  • Skilled Nursing Facility
  • Danville, IL
  • NPI 1881425056

  Jenmax Holdings LLC

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Behfar Dianati, M.D.

  • Hospitalist Physician
  • Belleville, IL
  • NPI 1558580852

  Nursing home

  Care Compare affiliation
• Dominic Gaziano, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1275699209

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1306619150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6554 N TRUMBULL AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6277 CENTER GROVE RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253309",
            "telephone_number": "618-659-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDSVILLE NURSING AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "GARFINKEL",
        "authorized_official_first_name": "AKIVA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-899-6924"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Bella of Edwardsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.

Verify at the official NPI Registry.