Active NPI
Belleville Healthcare Center LP
- Skilled Nursing Facility
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2024
- 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
- Mr. Avrum Weinfeld
- Title
- Cfo
- Phone
- (847) 933-9200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@briahs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Partnership
- Enrollment address
- 727 N 17TH St
Belleville, IL 62226-6552
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Nexus Pavilion at Belleville
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 1, 1977
- Medicare certification status
- Active
- Certified beds
- 180
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 9
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0434197 | Belleville Healthcare Center LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Natan Weiss | 5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 28.33% |
| Kim M Boulton | Adp of the SNF | Jun 28, 2016 | |
| Avrum Weinfeld | 5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 28.33% |
| Adp of the SNF | Jul 1, 2022 | ||
| Daniel T Weiss | 5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 28.34% |
| Christine Davis | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Dvorah S Weinfeld | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 15% |
| Navdeep Dhaliwal | 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.
-
- Internal Medicine Physician
- Mount Vernon, WA
- NPI 1477968337
Adp of the SNF, Operational/Managerial Control
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
- Belleville Endoscopy
- Belleville Endoscopy Anesthesia
- Belleville Endoscopy LLC
- Belleville Family Medical Associates, LTD
- Belleville Healthcare & Rehab Center (Bria Health Services of Belleville)
- Belleville Orthopedic Surgeons LTD
- Belleville Orthopedics, P.C.
- Belleville Rehabilitation Services,LTD
- Belleville School District 118
- Belleville Surgical Center LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.