Paul House & Health Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PAUL HOUSE & HEALTH CARE CENTER LLC

Practice address

3800 N California Ave
Chicago, IL 60618-3606

Phone

(773) 478-4222

NPI assigned

Dec 24, 2019

Organization subpart

No

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

Authorized official

Name

Jacob Mermelstein

Title

Manager

Phone

(847) 679-7484

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 1376182238. Details of each certification follow.

• CCN 145767 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145767

Legal name

PAUL HOUSE & HEALTH CARE CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1993

Last certification

Jun 5, 2025

Beds

171 (110 certified)

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Dec 31, 2019

Organization structure

LLCProprietary

Incorporated

Oct 30, 2019 in IL

Enrollment address

3800 N California Ave
Chicago, IL 60618-3606

Nursing home name

PAUL HOUSE & HEALTH CR CTR

Listed as

Paul House & Health CR CtrCCN 145767 · 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

Nov 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11097.5 residents per day on average

Penalties (3 years)

4Fines totaling $107,873

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Paul House Health Care Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paul House & Health Care Center LLC

  • Oxygen Equipment & Supplies (DME)
  • Chicago, IL
  • NPI 1285258525
  NPD tax ID

All disclosed owners & managing parties 16

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.

• Dheeraj Mahajan, M.D.

  • Internal Medicine Physician
  • Oak Park, IL
  • NPI 1831133693

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Balmoral Home Inc

  dba Balmoral Nursing Home

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1730183203

  Marvin Mermelstein Family Trust, Ten Chicago LLC

  CMS ownership
• Central Nursing Home LLC

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1205222379

  Joseph Mermelstein Family Trust, Marvin Mermelstein Family Trust

  CMS ownership

Affiliated clinicians 3

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

• Dheeraj Mahajan, M.D.

  • Internal Medicine Physician
  • Oak Park, IL
  • NPI 1831133693

  Nursing home

  Care Compare affiliation
• Maryam Majeed, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1366041832

  Nursing home

  Care Compare affiliation
• Tariq Moh'D Suleiman Mubarak, M.D

  • Hospitalist Physician
  • Oak Park, IL
  • NPI 1811254303

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1376182238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N HAMLIN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123904",
            "telephone_number": "847-679-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183606",
            "telephone_number": "773-478-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL HOUSE & HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "MERMELSTEIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-679-7484"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, 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 Dec 24, 2019; 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.