NPIMap

Organization Active NPI

Butterfield Health Care VII, LLC

Doing business as Meadowbrook Manor of LaGrange

  • Skilled Nursing Facility
  • La Grange, IL
National Provider Identifier
1467426676
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0047274 Issued in IL
Legal business name
BUTTERFIELD HEALTH CARE VII, LLC
Doing business as
Meadowbrook Manor of LaGrange
Practice address
339 9TH Ave
La Grange, IL 60525-6429
Phone
(708) 354-4660
NPI assigned
Feb 14, 2006
Last updated
Feb 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Mr. Christopher Vangel
Title
Executive Director
Phone
(331) 472-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0047274 IL Primary

Addresses

Primary practice location

339 9TH Ave
La Grange, IL 60525-6429

Mailing address

640 N River Rd
Suite 106
Naperville, IL 60563-8949
Phone (331) 472-4500

Other identifiers 1

IdentifierTypeStateIssuer
0047274OtherILIDPH FACILITY ID NUMBER

Other names 1

  • Meadowbrook Manor of LaGrange Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000902 IL Part A Provider - Skilled Nursing Facility 2264464528 Practice locations: La Grange, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467426676. Details of each certification follow.

Skilled nursing facility certification: CCN 146093

Legal name
BUTTERFIELD HEALTH CARE VII, LLC
Doing business as
MEADOWBROOK MANOR OF LAGRANGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 31, 2005
Last certification
Jun 6, 2024
Beds
197
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Meadowbrook Manor LLC
Organization structure
LLCProprietary
Incorporated
Aug 26, 2005 in DE
Enrollment address
339 9TH Ave
La Grange, IL 60525-6429
Nursing home name
MEADOWBROOK MANOR - LAGRANGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meadowbrook Manor - LagrangeCCN 146093 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 31, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
197151.6 residents per day on average
Penalties (3 years)
2Fines totaling $57,714

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Butterfield Health Care VII LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Katherine Hocuk GST Exempt Descendants Trust Organization, Oak Brook, IL 5% Or Greater Direct Ownership Interest Aug 26, 2005 5%
RBJ Investments LP Organization, Dana Point, CA 5% Or Greater Direct Ownership Interest Aug 22, 2005 25%
Louis William Dimas Family Limited Partnership Organization, Oak Brook, IL 5% Or Greater Direct Ownership Interest Aug 26, 2005 15%
Kianoosh Jafari Individual Corporate Director Sep 7, 2005
Christopher P Vangel Individual Contracted Managing Employee Sep 7, 2005
Corporate Director Sep 7, 2005
Jafari Family LLC Organization, Oak Brook, IL LLC 5% Or Greater Direct Ownership Interest Aug 22, 2005 25%
Chris Vangel GST Exempt Descendants Trust Organization, Oak Brook, IL 5% Or Greater Direct Ownership Interest Aug 22, 2005 5%
Nicholas a Vangel Individual 5% Or Greater Direct Ownership Interest Aug 22, 2005 12.5%
Corporate Director Sep 7, 2005
Dorothy Vangel Individual 5% Or Greater Direct Ownership Interest Aug 22, 2005 12.5%

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 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1467426676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N RIVER RD",
            "address_2": "SUITE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638949",
            "telephone_number": "331-472-4500",
            "fax_number": "331-472-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 9TH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256429",
            "telephone_number": "708-354-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFIELD HEALTH CARE VII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "VANGEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "331-472-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0047274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH FACILITY ID NUMBER",
            "identifier": "0047274",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Manor of LaGrange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.