Active NPI
Lakefront Skilled Nursing Facility LLC
- Skilled Nursing Facility
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LAKEFRONT SKILLED NURSING FACILITY LLC
- Practice address
- 7618 N Sheridan Rd
Chicago, IL 60626-1418 - Phone
- (773) 743-7711
- Fax
- (773) 743-1713
- NPI assigned
- Oct 26, 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
- Yair Zuckerman
- Title
- Ceo
- Phone
- (847) 679-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
7618 N Sheridan Rd
Chicago, IL 60626-1418
Mailing address
7040 N Ridgeway Ave
Lincolnwood, IL 60712-2620
Phone (847) 679-9797
Other names 1
- LAKEFRONT NURSING & REHAB CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151204002542 | IL | Part A Provider - Skilled Nursing Facility | 3173823630 | Practice locations: Chicago, IL |
Skilled nursing facility certification: CCN 145235
- Legal name
- LAKEFRONT SKILLED NURSING FACILITY LLC
- Doing business as
- LAKEFRONT NURSING & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1972
- Last certification
- May 1, 2025
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Legacy Healthcare
- Most recent change of ownership
- Nov 6, 2015
- Organization structure
- LLC
- Enrollment address
- 7618N Sheridan Rd
Chicago, IL 60626-1418 - Nursing home name
- LAKEFRONT NURSING & REHAB CTR
- Affiliated entity
- LEGACY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lakefront Nursing & Rehab Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 1, 1972
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Legacy Healthcare
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 14D0669383 | Lakefront Nursing & Rehab Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Lakefront Property Holdings, LLC | 5% Or Greater Security Interest | Nov 6, 2015 | 100% |
| Adp of the SNF | Nov 6, 2015 | ||
| Betim Rizvani | Operational/Managerial Control | May 30, 2022 | |
| Adp of the SNF | May 3, 2022 | ||
| Menachem Shabat | Operational/Managerial Control | May 3, 2017 | |
| Managing Control - Governing Body | May 3, 2017 | ||
| Adp of the SNF | Nov 6, 2015 | ||
| Roth & Co, LLP | Adp of the SNF | Jan 1, 2024 | |
| Adp of the SNF | Nov 6, 2015 | ||
| GPN Family Trust U/a/D 4/28/08 | 5% Or Greater Direct Ownership Interest | May 3, 2017 | 50% |
| Adp of the SNF | Nov 6, 2015 | ||
| Legacy Healthcare Financial Services LLC | Operational/Managerial Control | Nov 6, 2015 | |
| Adp of the SNF | Nov 17, 2025 | ||
| Doros Generation Trust U/a/D 1/3/12 | 5% Or Greater Direct Ownership Interest | May 3, 2017 | 50% |
| VNB New York LLC | 5% Or Greater Security Interest | Mar 7, 2015 | 100% |
| Operational/Managerial Control | Mar 7, 2025 | ||
| Yakov Ryabov | Operational/Managerial Control | Nov 6, 2015 | |
| Adp of the SNF | Nov 6, 2015 | ||
| Adp of the SNF | Nov 6, 2015 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Wheeling, IL
- NPI 1912909615
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 89
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1053783407
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08, Legacy Healthcare Financial Services LLC, VNB New York LLC
-
- Skilled Nursing Facility
- Aurora, IL
- NPI 1851715262
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08, Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Aurora, IL
- NPI 1720686280
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08, Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Park Ridge, IL
- NPI 1427461292
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08
-
- Skilled Nursing Facility
- Berwyn, IL
- NPI 1578033551
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08, Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Bloomingdale, IL
- NPI 1184207441
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08
-
- Skilled Nursing Facility
- Buffalo Grove, IL
- NPI 1811685449
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08, Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Elmhurst, IL
- NPI 1942883210
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1598136632
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08, Legacy Healthcare Financial Services LLC
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1104298496
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08, Legacy Healthcare Financial Services LLC, VNB New York LLC
-
- Skilled Nursing Facility
- Chicago Ridge, IL
- NPI 1518540871
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1366995227
Doros Generation Trust U/a/D 1/3/12, GPN Family Trust U/a/D 4/28/08, Legacy Healthcare Financial Services LLC
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": "1445817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445817600000",
"number": "1356713655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7040 N RIDGEWAY AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122620",
"telephone_number": "847-679-9797",
"fax_number": "847-676-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7618 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606261418",
"telephone_number": "773-743-7711",
"fax_number": "773-743-1713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEFRONT SKILLED NURSING FACILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A",
"authorized_official_last_name": "ZUCKERMAN",
"authorized_official_first_name": "YAIR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-679-9797"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LAKEFRONT NURSING & REHAB CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.