Henry Rehab and Nursing LLC
Organization Active NPI Skilled Nursing Facility · Henry, IL
NPI 1336729672 · NPPES record last updated Apr 12, 2021
Key facts
- NPI
- 1336729672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- HENRY REHAB AND NURSING LLC
- Practice address
- 1650 Indiantown Rd
Henry, IL 61537-9227 - Phone
- (309) 364-3905
- NPI assigned
- Apr 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Chaim Millman
- Title
- Ceo
- Phone
- (845) 414-3300
Owners & managing parties with NPI records 2
-
Stanley John Mathew, M.D.
Facilities with the same owner 22
Affiliated clinicians 1
-
Stanley John Mathew, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Henry Rehab and Nursing
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 5, 1988
- Medicare certification status
- Active
- Certified beds
- 81 · 51.9 residents per day on average
- Chain
- Stern Consultants
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0668674 | Henry Rehab & Nursing LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 145604
- Legal name
- HENRY REHAB AND NURSING LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 5, 1988
- Last certification
- Apr 18, 2025
- Beds
- 94 (81 certified)
- Ownership / control type
- Corporation
- Multi-facility organization
- Stern Consultants
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 10, 2021 in IL
- Enrollment address
- 1650 Indiantown Rd
Henry, IL 61537-9227 - Nursing home name
- HENRY REHAB AND NURSING
- Affiliated entity
- STERN CONSULTANTS
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Boruch Sheps |
5% Or Greater Direct Ownership Interest |
Jun 1, 2021 | 18% |
| Operational/Managerial Control |
Jun 1, 2021 | 50% | |
| Managing Control - Governing Body | Jun 1, 2021 | ||
| Adp of the SNF | Jun 1, 2021 | ||
| Avraham Erblich |
5% Or Greater Direct Ownership Interest | Jun 1, 2021 | 12% |
| Operational/Managerial Control | Jun 1, 2021 | ||
| Managing Control - Governing Body | Jun 1, 2021 | ||
| Adp of the SNF | Jun 1, 2021 | ||
| Chaim Millman |
5% Or Greater Direct Ownership Interest |
Jun 1, 2021 | 26% |
| Operational/Managerial Control |
Jun 1, 2021 | 50% | |
| Managing Control - Governing Body | Jun 1, 2021 | ||
| Adp of the SNF | Jun 1, 2021 | ||
| Allen Hood |
Operational/Managerial Control | Dec 22, 2023 | |
| Adp of the SNF | Dec 22, 2023 | ||
| Benjamin Friedman |
5% Or Greater Direct Ownership Interest |
Jun 1, 2021 | 20% |
| Operational/Managerial Control | Jun 1, 2021 | ||
| Adp of the SNF | Jun 1, 2021 | ||
| |
Adp of the SNF | Jun 1, 2021 | |
| Henry Realty LLC |
Adp of the SNF | Jun 1, 2021 | |
| Windy Cook |
Operational/Managerial Control | Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| Etn Family Holdings LLC |
5% Or Greater Direct Ownership Interest | Jun 1, 2021 | 12.5% |
| Operational/Managerial Control | Jun 1, 2021 | ||
| Adp of the SNF | Jun 1, 2021 | ||
| |
Adp of the SNF | Jun 1, 2021 | |
| Bezalel Stern |
5% Or Greater Direct Ownership Interest | Jun 1, 2021 | 11.5% |
| T Newhouse Family Trust |
5% Or Greater Indirect Ownership Interest | Jun 1, 2021 | 6.19% |
| Adp of the SNF | Jun 1, 2021 | ||
| |
Adp of the SNF | Jan 1, 2023 | |
| Stanley Mathew |
Operational/Managerial Control | May 1, 2025 | |
| Managing Control - Governing Body | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| |
Adp of the SNF | May 25, 2025 | |
| Eric Newhouse |
Managing Control - Governing Body | Jun 1, 2021 | |
| Trustee of the SNF | Jun 1, 2021 | ||
| Direct Ownership Interest | Jun 1, 2021 | 0.13% | |
| Andrea Plew |
Operational/Managerial Control | Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| Stern Therapy Consultants LLC |
Operational/Managerial Control | Jun 1, 2021 | |
| Adp of the SNF | May 25, 2025 | ||
| Temi Newhouse |
Trustee of the SNF | Jun 1, 2021 | |
| |
Adp of the SNF | Jan 1, 2023 | |
| |
Adp of the SNF | May 25, 2025 | |
| E Newhouse Family Trust |
5% Or Greater Indirect Ownership Interest | Jun 1, 2021 | 6.19% |
| Adp of the SNF | Jun 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210706000605 | IL | Part a Provider - Skilled Nursing Facility | 0840692455 | Practice locations: Henry, IL |
National Provider Directory
Locations
7C Medical Park Dr
Pomona, NY 10970
Phone (845) 354-1169
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1650 Indiantown Rd
Henry, IL 61537-9227
Mailing address
7B Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 414-3300
Other providers in Henry, IL
- David A Forbes
- Celeste Elaine Hansen
- Heartland of Henry Il, LLC
- Betty Louise Heinold
- Henry Community Ambulance Service
- Henry Senachwine Cusd 5
- Highland Park CVS, L.L.C.
- Julia Rackley Perry Memorial Hospital
- Julia Rackley Perry Memorial Hospital
- Richard Paul June
All providers in Henry, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.