Alden-Poplar Creek Rehabilitation and Health Care Center, Inc.
Organization Active NPI Skilled Nursing Facility · Hoffman Estates, IL
NPI 1366439267 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366439267
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0032896 (IL)
- Legal business name
- ALDEN-POPLAR CREEK REHABILITATION AND HEALTH CARE CENTER, INC.
- Practice address
- 1545 Barrington Rd
Hoffman Estates, IL 60194-1018 - Phone
- (847) 884-0011
- Fax
- (847) 884-0121
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Floyd A Schlossberg
- Title
- President
- Phone
- (773) 286-6622
Corporate family (same tax ID) 1
Facilities with the same owner 28
Affiliated clinicians 4
-
Ryan Peter Bartkus, M.D.
-
Shahab Mohiuddin, MD
-
Alex Aurelio Sanchez, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Alden Poplar Creek Rehab & HCC
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 1, 1982
- Medicare certification status
- Active
- Certified beds
- 217 · 168.7 residents per day on average
- Chain
- The Alden Network
- Penalties (3 years)
- 1 · fines totaling $8,281
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0672376 | Alden-Poplar Creek Rehab & HLTH Care Ctr Inc | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 145403
- Legal name
- ALDEN-POPLAR CREEK REHABILITATION AND HEALTH CARE CENTER, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1982
- Last certification
- Sep 11, 2024
- Beds
- 217
- Ownership / control type
- Corporation
- Multi-facility organization
- Alden Managment Services
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 3, 1987 in IL
- Enrollment address
- 1545 Barrington Rd
Hoffman Estates, IL 60169-1018 - Nursing home name
- ALDEN POPLAR CREEK REHAB & HCC
- Affiliated entity
- THE ALDEN NETWORK
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Elizabeth Carroll |
W-2 Managing Employee |
Nov 12, 2017 | |
| Arin G Elisco |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Garrett E Magnusson |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Joan P Carl |
Corporate Officer | Dec 3, 1987 | |
| Corporate Director | Dec 3, 1987 | ||
| Alden Management Services, Inc. |
Operational/Managerial Control | Dec 3, 1987 | 100% |
| Esther J Davis |
Operational/Managerial Control |
Mar 15, 2010 | |
| Randi Schullo Grantor TR Dated 11/02/2004 |
5% Or Greater Indirect Ownership Interest | Feb 28, 2018 | 20.77% |
| Joseph Schullo |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Robert J Molitor |
Operational/Managerial Control |
Jun 16, 2008 | |
| Lauren Magnusson Grantor TR Dated 11/02/2004 |
5% Or Greater Indirect Ownership Interest | Feb 28, 2018 | 20.77% |
| The Alden Group, LTD. |
5% Or Greater Direct Ownership Interest | Dec 3, 1987 | 100% |
| Paige a Magnusson |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Nicole Schullo |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Randi Schullo |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 20.77% |
| Corporate Officer | Feb 16, 2010 | ||
| Charles L Elisco |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Midcap Funding IV Trust |
5% Or Greater Security Interest | Jul 1, 2010 | 9% |
| Floyd a Schlossberg |
Corporate Officer | Dec 3, 1987 | |
| Corporate Director | Dec 3, 1987 | ||
| Audra Elisco Grantor TR Dated 11/02/2004 |
5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 20.77% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100708000542 | IL | Part a Provider - Skilled Nursing Facility | 4587795547 | Practice locations: Hoffman Estates, IL |
National Provider Directory
- Tax ID family
- Alden Poplar Creek Rehab and Health Care Center Inc
Locations
1545 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 844-0011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0032896 | IL | Yes |
Addresses
Primary practice location
1545 Barrington Rd
Hoffman Estates, IL 60194-1018
Mailing address
4200 W Peterson Ave
Suite 140
Chicago, IL 60646-6074
Phone (773) 286-6622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0714 | Other | IL | BLUE CROSS |
Other providers in Hoffman Estates, IL
- Nahid Alavi
- David Albritton
- Carl J Albun
- Joana Alcala-Gil
- Alden Poplar Creek Rehab and Health Care Center, Inc.
- Alexander & Associates Women'S Health Care, S.C.
- Gail Alexander
- Taylor Amanda Alexander
- Alexian Brothers Behavioral Health Hospital
- Alexian Brothers Behavioral Health Hospital
All providers in Hoffman Estates, 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 Aug 22, 2020. 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.