NPIMap

Organization Active NPI

Elmbrook Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Elmhurst, IL
National Provider Identifier
1457723744
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELMBROOK SKILLED NURSING FACILITY LLC
Practice address
127 W Diversey Ave
Elmhurst, IL 60126-1101
Phone
(630) 530-5225
Fax
(630) 530-7775
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Yair Zuckerman
Title
Ceo
Phone
(847) 679-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

127 W Diversey Ave
Elmhurst, IL 60126-1101

Mailing address

7040 N Ridgeway Ave
Lincolnwood, IL 60712-2620
Phone (847) 679-9797

Other names 1

  • ELM BROOK HEALTHCARE & REHABILITATION CENTRE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151203000309 IL Part A Provider - Skilled Nursing Facility 2062712698 Practice locations: Elmhurst, IL

Skilled nursing facility certification: CCN 145339

Legal name
ELMBROOK SKILLED NURSING FACILITY, LLC
Doing business as
THE GROVE OF ELMHURST
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 1, 1978
Last certification
May 23, 2025
Beds
180
Ownership / control type
Corporation
Multi-facility organization
Legacy Healthcare
Most recent change of ownership
Nov 6, 2015
Organization structure
LLCProprietary
Enrollment address
127 W Diversey Ave
Elmhurst, IL 60126-1101
Nursing home name
GROVE OF ELMHURST, THE
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grove of Elmhurst, theCCN 145339
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180134.8 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
3Fines totaling $143,281

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
14D0665803Grove of Elmhurst, the127 W Diversey, Elmhurst, IL 60126Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Margaux Morris Individual Operational/Managerial Control Mar 11, 2024
Adp of the SNF Mar 11, 2024
Chool Liyanapatabendi Individual Operational/Managerial Control Nov 6, 2015
Adp of the SNF Nov 6, 2015
Menachem Shabat Individual Operational/Managerial Control May 3, 2017
Managing Control - Governing BodyManager of the Manager May 3, 2017
Adp of the SNF May 3, 2017
Individual Adp of the SNF Nov 6, 2015
Miller Cooper & Co, LTD Organization, Deerfield, IL Consulting firm Adp of the SNF Jan 1, 2024
Elmbrook HC Realty, LLC Organization, Skokie, IL LLC 5% Or Greater Security Interest Nov 6, 2015 100%
Adp of the SNF Nov 6, 2015
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest May 3, 2017 50%
Adp of the SNF Nov 6, 2015
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC Operational/Managerial Control Nov 6, 2015
Adp of the SNF Nov 14, 2025
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest May 3, 2017 50%
Adp of the SNF Nov 6, 2015
Forbright Bank Organization, Chevy Chase, MD Financial institution 5% Or Greater Security Interest Jul 31, 2024 100%
Operational/Managerial Control Jul 31, 2024
Individual Adp of the SNF Nov 6, 2015
Organization, Skokie, IL Adp of the SNF Nov 6, 2015

Owners & managing parties with NPI records 1

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

Facilities with the same owner 90

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 90

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1457723744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 N RIDGEWAY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122620",
            "telephone_number": "847-679-9797",
            "fax_number": "847-676-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W DIVERSEY AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261101",
            "telephone_number": "630-530-5225",
            "fax_number": "630-530-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMBROOK SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "YAIR",
        "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": [
        {
            "organization_name": "ELM BROOK HEALTHCARE & REHABILITATION CENTRE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.