Organization Active NPI

Belleville Healthcare Center LP

  • Skilled Nursing Facility
  • Belleville, IL
National Provider Identifier
1396475869
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BELLEVILLE HEALTHCARE CENTER LP
Practice address
727 N 17TH St
Belleville, IL 62226-6552
Phone
(618) 234-3323
Fax
(618) 236-5472
NPI assigned
Jun 16, 2022
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Mr. Avrum Weinfeld
Title
Cfo
Phone
(847) 933-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

727 N 17TH St
Belleville, IL 62226-6552

Mailing address

5151 Church St
Skokie, IL 60077-1123
Phone (847) 933-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@briahs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220926000908 IL Part A Provider - Skilled Nursing Facility 9032595236 Practice locations: Belleville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396475869. Details of each certification follow.

Skilled nursing facility certification: CCN 145290

Legal name
BELLEVILLE HEALTHCARE CENTER LP
Doing business as
BELLEVILLE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 1, 1977
Last certification
Mar 14, 2025
Beds
180
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Sep 1, 2022
Organization structure
PartnershipProprietary
Enrollment address
727 N 17TH St
Belleville, IL 62226-6552

Care Compare: Nursing home

Medicare Care Compare
Listed as
Nexus Pavilion at BellevilleCCN 145290 · 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
May 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180113.9 residents per day on average
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
9Fines totaling $821,641

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0434197Belleville Healthcare Center LLC727 N 17TH St, Belleville, IL 62226Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Natan Weiss Individual 5% Or Greater Direct Ownership InterestDirector Jul 1, 2022 28.33%
Kim M Boulton Individual Adp of the SNF Jun 28, 2016
Avrum Weinfeld Individual 5% Or Greater Direct Ownership InterestCfo Jul 1, 2022 28.33%
Adp of the SNF Jul 1, 2022
Daniel T Weiss Individual 5% Or Greater Direct Ownership InterestCeo Jul 1, 2022 28.34%
Christine Davis Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Dvorah S Weinfeld Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 15%
Navdeep Dhaliwal Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1396475869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 CHURCH ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771123",
            "telephone_number": "847-933-9200",
            "fax_number": "847-933-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N 17TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266552",
            "telephone_number": "618-234-3323",
            "fax_number": "618-236-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVILLE HEALTHCARE CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "WEINFELD",
        "authorized_official_first_name": "AVRUM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-933-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@briahs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "727 N 17th St",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622266552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.