The Loft Rehabilitation of Peoria LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE LOFT REHABILITATION OF PEORIA LLC

Practice address

1500 W Northmoor Rd
Peoria, IL 61614-3435

Phone

(309) 691-2200

NPI assigned

Nov 9, 2023

Last updated

Nov 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Aaron

Title

Cfo

Phone

(847) 792-9293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336913367. Details of each certification follow.

• CCN 145647 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145647

Legal name

THE LOFT REHABILITATION OF PEORIA LLC

Doing business as

THE LOFT REHABILITATION OF PEORIA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 29, 1989

Last certification

Aug 23, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Multi-facility organization

The Loft Rehab and Nursing

Most recent change of ownership

Dec 1, 2023

Organization structure

LLCProprietary

Enrollment address

1500 W Northmoor Rd
Peoria, IL 61614-3435

Nursing home name

LOFT REHAB OF PEORIA, THE

Affiliated entity

THE LOFT REHABILITATION AND NURSING

Listed as

Loft Rehab of Peoria, theCCN 145647 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 29, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12085.0 residents per day on average

Chain

The Loft Rehabilitation and Nursing7 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

5Fines totaling $253,218

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 11

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.

• Jay S Harms, MD

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1518075282

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 1

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

• The Loft Rehabilitation of East Peoria LLC

  • Skilled Nursing Facility
  • East Peoria, IL
  • NPI 1871367805

  Loft Peoria Holdings LLC

  CMS ownership

Affiliated clinicians 1

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

• Jay S Harms, MD

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1518075282

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1336913367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 MCCORMICK BLVD STE 160F",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762920",
            "telephone_number": "847-792-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W NORTHMOOR RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143435",
            "telephone_number": "309-691-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOFT REHABILITATION OF PEORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-792-9293",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Bleeding and Clotting Disorders Institute
• The Bleeding and Clotting Disorders Institute
• The Center for Youth and Family Solutions
• The Fresh Beet Nutrition LLC
• The Lawson Group, LLC. (Active Way)
• The Plaid Daisy Inc
• The Sanction Community Outreach
• Jacey Melissa Thelen
• Melissa M Theobald, FNP
• Allecia Thibeault, FNP

• Skilled Nursing Facility in Peoria, IL
• Providers in Peoria, 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 Nov 13, 2023; 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.