Alden-Park Strathmoor, Inc.
Organization Active NPI Skilled Nursing Facility · Rockford, IL
NPI 1376530766 · NPPES record last updated Nov 12, 2015
Key facts
- NPI
- 1376530766
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0044909 (IL)
- Legal business name
- ALDEN-PARK STRATHMOOR, INC.
- Practice address
- 5668 Strathmoor Dr
Rockford, IL 61107-5110 - Phone
- (815) 229-5200
- Fax
- (815) 229-1411
- NPI assigned
- Sep 30, 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 26
Affiliated clinicians 1
-
Steven J Disanti, DO
Medicare Care Compare: Nursing home
- Listed as
- Alden Park Strathmoor
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 7, 1973
- Medicare certification status
- Active
- Certified beds
- 189 · 155.2 residents per day on average
- Chain
- The Alden Network
- Penalties (3 years)
- 2 · fines totaling $115,265
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 145259
- Legal name
- ALDEN-PARK STRATHMOOR, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 7, 1973
- Last certification
- May 14, 2025
- Beds
- 189
- Ownership / control type
- Corporation
- Multi-facility organization
- Alden Mgmnt Svcs
- Organization structure
- Corporation · Proprietary
- Incorporated
- May 8, 2000 in IL
- Enrollment address
- 5668 Strathmoor Dr
Rockford, IL 61107-5110 - Nursing home name
- ALDEN PARK STRATHMOOR
- Affiliated entity
- THE ALDEN NETWORK
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Alden Realty Services, Inc |
5% Or Greater Direct Ownership Interest | May 8, 2000 | 100% |
| Joan P Carl |
Corporate Officer |
May 8, 2000 | |
| Corporate Director |
May 8, 2000 | ||
| Alden Management Services, Inc. |
Operational/Managerial Control | May 8, 2000 | 100% |
| Esther J Davis |
Operational/Managerial Control |
Mar 15, 2010 | |
| Nikolina Kuljanin |
W-2 Managing Employee |
May 27, 2014 | 100% |
| The Floyd a Schlossberg Living Trust |
5% Or Greater Indirect Ownership Interest | Jan 29, 2014 | 100% |
| Robert J Molitor |
Operational/Managerial Control |
Jun 16, 2008 | |
| Randi Schullo |
Corporate Officer |
Feb 16, 2010 | |
| Midcap Funding IV Trust |
5% Or Greater Security Interest | Jul 1, 2018 | 34% |
| Floyd a Schlossberg |
Corporate Officer |
May 8, 2000 | |
| Corporate Director |
May 8, 2000 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110104000481 | IL | Part a Provider - Skilled Nursing Facility | 3375732571 | Practice locations: Rockford, IL |
National Provider Directory
- Tax ID family
- Alden Park Strathmoor
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0044909 | IL | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
5668 Strathmoor Dr
Rockford, IL 61107-5110
Mailing address
4200 W Peterson Ave
Suite 140
Chicago, IL 60646-6074
Phone (773) 286-6622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5420 | Other | IL | BLUE CROSS |
NPI Registry JSON
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447286400000",
"number": "1376530766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 W PETERSON AVE",
"address_2": "SUITE 140",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606466074",
"telephone_number": "773-286-6622",
"fax_number": "773-286-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5668 STRATHMOOR DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075110",
"telephone_number": "815-229-5200",
"fax_number": "815-229-1411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALDEN-PARK STRATHMOOR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-30",
"last_updated": "2015-11-12",
"status": "A",
"authorized_official_last_name": "SCHLOSSBERG",
"authorized_official_first_name": "FLOYD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-286-6622"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0044909",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5420",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
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- Alden Park Strathmoor, Inc.
- Alden-Alma Nelson Manor, Inc.
- Amy M Alderks
- Bryce T Alderks
- Brian N. Aldred
- Jaclyn Ashley Aleksich
- Alex Moore, DMD PC
All providers in Rockford, 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 Nov 12, 2015. 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.