Organization Active NPI

Alden-Valley Ridge Rehabilitation and Health Care Center, Inc.

  • Skilled Nursing Facility
  • Bloomingdale, IL
National Provider Identifier
1467449280
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0036640 Issued in IL
Legal business name
ALDEN-VALLEY RIDGE REHABILITATION AND HEALTH CARE CENTER, INC.
Practice address
275 E Army Trail Rd
Bloomingdale, IL 60108-2135
Phone
(630) 893-9616
Fax
(630) 924-1059
NPI assigned
Oct 6, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Floyd A Schlossberg
Title
President
Phone
(773) 286-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0036640 IL Primary

Addresses

Primary practice location

275 E Army Trail Rd
Bloomingdale, IL 60108-2135

Mailing address

4200 W Peterson Ave
Suite 140
Chicago, IL 60646-6074
Phone (773) 286-6622

Other identifiers 1

IdentifierTypeStateIssuer
1010OtherILBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110105000208 IL Part A Provider - Skilled Nursing Facility 1254520349 Practice locations: Bloomingdale, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467449280. Details of each certification follow.

Skilled nursing facility certification: CCN 145379

Legal name
ALDEN-VALLEY RIDGE REHABILITATION AND HEALTH CARE CENTER, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 2, 1979
Last certification
Aug 21, 2024
Beds
207
Ownership / control type
Corporation
Multi-facility organization
Alden Management Services
Organization structure
CorporationProprietary
Incorporated
Aug 14, 1990 in IL
Enrollment address
275 E Army Trail Rd
Bloomingdale, IL 60108-2135
Nursing home name
ALDEN VALLEY RIDGE REHAB & HCC
Affiliated entity
THE ALDEN NETWORK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alden Valley Ridge Rehab & HCCCCN 145379 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 2, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
207169.2 residents per day on average
Chain
The Alden Network27 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Alden Valley Ridge Rehab and Health Care Center Inc2 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 18

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

NameRoleSinceShare
Arin G Elisco Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Garrett E Magnusson Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Joan P Carl Individual Corporate Officer Aug 14, 1990
Corporate Director Aug 14, 1990
Alden Management Services, Inc. Organization, Chicago, IL Corporation Operational/Managerial Control Aug 14, 1990
Randi Schullo Grantor TR Dated 11/02/2004 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Feb 28, 2018 20.77%
Bank Leumi USA Organization, New York, NY Financial institution 5% Or Greater Security Interest Aug 29, 2012 16%
Janine P Ciemny Individual Operational/Managerial ControlVP of Ops. Alden MGMT Serv. Inc Apr 7, 2008
Joseph Schullo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Robert J Molitor Individual Operational/Managerial ControlCoo-Alden MGMT. Services Inc Jun 16, 2008
Lauren Magnusson Grantor TR Dated 11/02/2004 Organization, Elgin, IL 5% Or Greater Indirect Ownership Interest Feb 28, 2018 20.77%
The Alden Group, LTD. Organization, Chicago, IL Corporation 5% Or Greater Direct Ownership Interest Aug 14, 1990 100%
Paige a Magnusson Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Nicole Schullo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Randi Schullo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 20.77%
Corporate Officer Feb 16, 2010
Charles L Elisco Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Lauren O Carrieri Individual W-2 Managing EmployeeAdministrator May 25, 2015 100%
Floyd a Schlossberg Individual Corporate Officer Aug 14, 1990
Corporate Director Aug 14, 1990
Audra Elisco Grantor TR Dated 11/02/2004 Organization, Northbrook, IL 5% Or Greater Indirect Ownership Interest Mar 1, 2018 20.77%

Facilities with the same owner 28

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

View all 28

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467449280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466074",
            "telephone_number": "773-286-6622",
            "fax_number": "773-286-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E ARMY TRAIL RD",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082135",
            "telephone_number": "630-893-9616",
            "fax_number": "630-924-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN-VALLEY RIDGE REHABILITATION AND HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSBERG",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-286-6622"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0036640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.