NPIMap

Organization Active NPI

Grove at the Lake Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Zion, IL
National Provider Identifier
1487026787
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GROVE AT THE LAKE SKILLED NURSING FACILITY LLC
Doing business as
THE GROVE AT THE LAKE
Practice address
2534 Elim Ave
Zion, IL 60099-2661
Phone
(847) 746-8435
Fax
(847) 746-1744
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

2534 Elim Ave
Zion, IL 60099-2661

Mailing address

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

Other names 1

  • THE GROVE AT THE LAKE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151208002582 IL Part A Provider - Skilled Nursing Facility 5395046783 Practice locations: Zion, IL

Skilled nursing facility certification: CCN 145665

Legal name
GROVE AT THE LAKE SKILLED NURSING FACILITY LLC
Doing business as
THE GROVE AT THE LAKE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1989
Last certification
Jul 19, 2024
Beds
244
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
2534 Elim Ave
Zion, IL 60099-2661
Nursing home name
ALPINE CARE OF ZION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alpine Care of ZionCCN 145665 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
244151.4 residents per day on average
Penalties (3 years)
4Fines totaling $72,588

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Organization, Lincolnwood, IL LLC Adp of the SNF Aug 6, 2022
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
Roth & Co, LLP Organization, Brooklyn, NY Consulting firm Adp of the SNF Jan 1, 2024
Individual 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
Tom Woike Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC Operational/Managerial Control Nov 6, 2015
Adp of the SNF Nov 17, 2025
Julie Stangel Individual Operational/Managerial Control Nov 6, 2015
Adp of the SNF Nov 6, 2015
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 1, 2015
Individual Adp of the SNF Nov 6, 2015
VNB New York LLC Organization, Morristown, NJ Financial institution 5% Or Greater Security Interest Mar 7, 2025 100%
Operational/Managerial Control Mar 7, 2025
Grove at the Lake Realty, LLC Organization, Skokie, IL LLC 5% Or Greater Security Interest Nov 6, 2015 100%
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 89

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

View all 89

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1487026787",
    "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": "2534 ELIM AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992661",
            "telephone_number": "847-746-8435",
            "fax_number": "847-746-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE AT THE LAKE 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": "THE GROVE AT THE LAKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zion, IL

Sources for this page

Verify at the official NPI Registry.