Active NPI
Pleasant Meadows Senior Living LLC
- Skilled Nursing Facility
- Chrisman, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PLEASANT MEADOWS SENIOR LIVING LLC
- Practice address
- 400 W Washington Ave
Chrisman, IL 61924-1042 - Phone
- (217) 269-2396
- NPI assigned
- Nov 15, 2013
- Last updated
- Dec 31, 2024
- 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
- Ms. Anna Sarah Salazar Dujua
- Title
- Director of Ar
- Phone
- (630) 217-1014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | IL | Primary |
Addresses
Primary practice location
400 W Washington Ave
Chrisman, IL 61924-1042
Mailing address
331 S York Rd Ste 301
Bensenville, IL 60106-2673
Phone (630) 217-1014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140501000002 | IL | Part A Provider - Skilled Nursing Facility | 6709017643 | Practice locations: Chrisman, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1326478108. Details of each certification follow.
Skilled nursing facility certification: CCN 146037
- Legal name
- PLEASANT MEADOWS SENIOR LIVING LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 15, 2002
- Last certification
- Oct 31, 2024
- Beds
- 109
- Ownership / control type
- Corporation
- Multi-facility organization
- Sheridan Healthcare
- Organization structure
- LLC
- Incorporated
- Sep 13, 2013 in IL
- Enrollment address
- 400 W Washington Ave
Chrisman, IL 61924-1038 - Nursing home name
- PLEASANT MEADOWS SENIOR LIVING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pleasant Meadows Senior Living
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 15, 2002
- Medicare certification status
- Active
- Certified beds
- 109
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 7
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 |
|---|---|---|---|
| 14D0433073 | Pleasant Meadows Senior Living, L L C | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
331 S York Rd
Ste 301
Bensenville, IL 60106
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Paul Gallagher | W-2 Managing Employee | May 20, 2022 | |
| Susan Truhlar | Corporate Director | Apr 4, 2020 | |
| Nachum Langsner Trust | 5% Or Greater Direct Ownership Interest | Jun 25, 2021 | 23.75% |
| Anna Sarah Salazar Dujua | Corporate Director | Apr 4, 2020 | |
| Pmop, LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2013 | 47.5% |
| Miriam Langsner Trust | 5% Or Greater Direct Ownership Interest | Jun 25, 2021 | 23.75% |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Bensenville, IL
- NPI 1114317088
Miriam Langsner Trust, Nachum Langsner Trust
-
- Skilled Nursing Facility
- Washington, IL
- NPI 1477103273
Miriam Langsner Trust, Nachum Langsner Trust
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1384473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735603200000",
"number": "1326478108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 S YORK RD STE 301",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601062673",
"telephone_number": "630-217-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W WASHINGTON AVE",
"city": "CHRISMAN",
"state": "IL",
"postal_code": "619241042",
"telephone_number": "217-269-2396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT MEADOWS SENIOR LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-15",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A",
"authorized_official_last_name": "SALAZAR DUJUA",
"authorized_official_first_name": "ANNA SARAH",
"authorized_official_title_or_position": "DIRECTOR OF AR",
"authorized_official_telephone_number": "630-217-1014",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chrisman, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.