Active NPI
Whitehall Skilled Nursing Facility LLC
- Skilled Nursing Facility
- Deerfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WHITEHALL SKILLED NURSING FACILITY LLC
- Practice address
- 300 Waukegan Rd
Deerfield, IL 60015-4908 - Phone
- (847) 580-8287
- Fax
- (847) 317-0350
- NPI assigned
- Aug 30, 2022
- Last updated
- Aug 30, 2022
- 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
- Chaim Rajchenbach
- Title
- Ceo
- Phone
- (847) 679-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
300 Waukegan Rd
Deerfield, IL 60015-4908
Mailing address
3450 Oakton St
Skokie, IL 60076-2951
Phone (773) 844-8880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220929000219 | IL | Part A Provider - Skilled Nursing Facility | 1153707195 | Practice locations: Deerfield, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1386364487. Details of each certification follow.
Skilled nursing facility certification: CCN 145706
- Legal name
- WHITEHALL SKILLED NURSING FACILITY LLC
- Doing business as
- WHITEHALL OF DEERFIELD
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Dec 1, 1991
- Last certification
- Apr 23, 2025
- Beds
- 190
- Ownership / control type
- Corporation
- Multi-facility organization
- Legacy Healthcare
- Most recent change of ownership
- Aug 22, 2022
- Organization structure
- LLC
- Enrollment address
- 300 Waukegan Rd
Deerfield, IL 60015-4908 - Nursing home name
- WHITEHALL OF DEERFIELD
- Affiliated entity
- LEGACY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Whitehall of Deerfield
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1991
- Medicare certification status
- Active
- Certified beds
- 190
- Chain
- Legacy Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| John Sultan | Operational/Managerial Control | Aug 22, 2022 | |
| Adp of the SNF | Aug 22, 2022 | ||
| Indirect Ownership Interest | Aug 22, 2022 | 3.9% | |
| Indirect Ownership Interest | Aug 22, 2022 | 3.9% | |
| Menachem Shabat | Operational/Managerial Control | Aug 22, 2022 | |
| Managing Control - Governing Body | Aug 22, 2022 | ||
| Adp of the SNF | Aug 22, 2022 | ||
| Indirect Ownership Interest | Aug 22, 2022 | 2.1% | |
| WH North Property, LLC | 5% Or Greater Security Interest | Aug 22, 2022 | 100% |
| Adp of the SNF | Aug 22, 2022 | ||
| Indirect Ownership Interest | Aug 22, 2022 | 2.1% | |
| GPN Family Trust U/a/D 4/28/08 | 5% Or Greater Direct Ownership Interest | Aug 22, 2022 | 47.6% |
| Cindy Cohen | Operational/Managerial Control | Aug 22, 2022 | |
| Adp of the SNF | Aug 22, 2022 | ||
| Legacy Healthcare Financial Services LLC | Operational/Managerial Control | Aug 22, 2022 | |
| Adp of the SNF | Dec 19, 2025 | ||
| Oakway Operations LLC | 5% Or Greater Direct Ownership Interest | Aug 22, 2022 | 12% |
| RSM US LLP | Adp of the SNF | Jan 1, 2024 | |
| Doros Generation Trust U/a/D 1/3/12 | 5% Or Greater Direct Ownership Interest | Aug 22, 2022 | 20.4% |
| Forbright Bank | 5% Or Greater Security Interest | Aug 22, 2022 | 100% |
| Operational/Managerial Control | Aug 22, 2022 | ||
| Rajchenbach 2015 Family Trust | 5% Or Greater Direct Ownership Interest | Aug 22, 2022 | 20% |
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
- Highland Park, IL
- NPI 1447228242
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 91
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Astoria Place Living & Rehab
- 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
-
dba The Grove of Fox Valley
- 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
-
dba Avantara Aurora
- Skilled Nursing Facility
- Aurora, IL
- NPI 1720686280
Doros Generation Trust U/a/D 1/3/12, Forbright Bank, GPN Family Trust U/a/D 4/28/08, Legacy Healthcare Financial Services LLC, Oakway Operations LLC
-
dba Avantara Park Ridge
- 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
-
dba The Grove of Berwyn
- 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
-
dba Bella Terra Bloomingdale
- 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
-
dba Warren Barr Buffalo Grove
- 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, Oakway Operations LLC
-
dba Bella Terra Elmhurst
- 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
-
dba Chalet Living & Rehab
- 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
-
dba Avantara Chicago Ridge
- 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, Forbright Bank, GPN Family Trust U/a/D 4/28/08, Legacy Healthcare Financial Services LLC
Practitioners & affiliated clinicians
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Highland Park, IL
- NPI 1477506483
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Chicago, IL
- NPI 1548618549
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661817600000",
"number": "1386364487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 OAKTON ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762951",
"telephone_number": "773-844-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WAUKEGAN RD",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154908",
"telephone_number": "847-580-8287",
"fax_number": "847-317-0350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITEHALL SKILLED NURSING FACILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A",
"authorized_official_last_name": "RAJCHENBACH",
"authorized_official_first_name": "CHAIM",
"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": []
}
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.