Apostolic Christian Restmor Inc
Organization Active NPI Skilled Nursing Facility · Morton, IL
NPI 1407801293 · NPPES record last updated Feb 11, 2015
Key facts
- NPI
- 1407801293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0023952 (IL)
- Legal business name
- APOSTOLIC CHRISTIAN RESTMOR INC
- Practice address
- 1500 Parkside Ave
Morton, IL 61550 - Phone
- (309) 284-1400
- Fax
- (309) 266-7877
- NPI assigned
- May 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Amy L Rodgers
- Title
- Accounts Receivable Manager
- Phone
- (309) 284-1412
Owners & managing parties with NPI records 1
-
Michael P Honan, M.D.
Affiliated clinicians 4
-
John D Baer, MD
-
Michael P Honan, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Apostolic Christian Restmor
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 1, 1982
- Medicare certification status
- Active
- Certified beds
- 62 · 101.6 residents per day on average
- Penalties (3 years)
- 2 · fines totaling $24,723
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0431626 | Apostolic Christian Restmor Inc | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 145436
- Legal name
- APOSTOLIC CHRISTIAN RESTMOR INC
- Doing business as
- APOSTOLIC CHRISTIAN RESTMOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Mar 1, 1982
- Last certification
- Apr 18, 2025
- Beds
- 128 (62 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1500 Parkside Ave
Morton, IL 61550-2629 - Nursing home name
- APOSTOLIC CHRISTIAN RESTMOR
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Kaiser |
Corporate Officer |
Feb 13, 2002 | 75% |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Jeffrey Struck |
Operational/Managerial Control | Jan 1, 2024 | |
| Alan Zimmerman |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Apostolic Christian Church of Morton |
5% Or Greater Direct Ownership Interest | Mar 30, 1978 | 100% |
| Operational/Managerial Control | Nov 30, 1978 | ||
| Adp of the SNF | Mar 30, 1978 | ||
| Gregory Wiengand |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Apostolic Christian Restmor Inc |
Operational/Managerial Control | Mar 30, 1978 | |
| Trustee of the SNF | Mar 30, 1978 | ||
| Adp of the SNF | Mar 30, 1978 | ||
| Currt Tanner |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Roger Spangler |
Corporate Director |
Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Dean Bolliger |
Corporate Director |
Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Amy L Rodgers |
Corporate Officer |
Dec 1, 2020 | |
| Operational/Managerial Control | Jan 1, 2015 | ||
| Adp of the SNF | Dec 1, 2020 | ||
| Elaine R Sollberger |
Corporate Director |
Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| James Ritthaler |
Operational/Managerial Control | Jan 1, 2024 | |
| Jeffrey Kieser |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Jeremiah D Psinas |
Corporate Officer |
Jan 1, 2022 | 100% |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Tim Braker |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Andrew L Sauder |
Corporate Officer |
Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Michael Patrick Honan |
Corporate Director |
Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Jeffrey Sinn |
Corporate Director |
Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Gary Rassi |
Corporate Officer |
Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Keith R Schick |
Corporate Officer |
Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090326000383 | IL | Part a Provider - Skilled Nursing Facility | 2264599877 | Practice locations: Morton, IL |
National Provider Directory
Locations
1500 Parkside Ave
Morton, IL 61550
Phone (309) 284-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0023952 | IL | Yes |
Addresses
Primary practice location
1500 Parkside Ave
Morton, IL 61550
Mailing address
1500 Parkside Ave
Morton, IL 61550-2629
Phone (309) 284-1400
NPI Registry JSON
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423612800000",
"number": "1407801293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 PARKSIDE AVE",
"city": "MORTON",
"state": "IL",
"postal_code": "615502629",
"telephone_number": "309-284-1400",
"fax_number": "309-266-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PARKSIDE AVE",
"city": "MORTON",
"state": "IL",
"postal_code": "61550",
"telephone_number": "309-284-1400",
"fax_number": "309-266-7877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOSTOLIC CHRISTIAN RESTMOR INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2015-02-11",
"status": "A",
"authorized_official_last_name": "RODGERS",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
"authorized_official_telephone_number": "309-284-1412"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0023952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton, IL
- Apostolic Christian Counseling and Family Services
- Apostolic Christian Home for the Handicapped
- Apostolic Christian Home for the Handicapped
- Apostolic Christian Home for the Handicapped
- Apostolic Christian Home for the Handicapped, Inc.
- Arcadia Care Morton LLC
- Arcadia Care Morton LLC
- Alyssa Arguelles
- Laura Armstrong-Fulton
- Ascent Athletics, LLC
All providers in Morton, 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 Feb 11, 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.