NPIMap

Organization Active NPI

Mayfield Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1487224648
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAYFIELD CARE AND REHABILITATION CENTER LLC
Practice address
5905 W Washington Blvd
Chicago, IL 60644-2845
Phone
(773) 261-7074
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Nisanel Silverberg
Title
Authorized Signer
Phone
(612) 432-3701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5905 W Washington Blvd
Chicago, IL 60644-2845

Mailing address

5905 W Washington Blvd
Chicago, IL 60644-2845

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210916002827 IL Part A Provider - Skilled Nursing Facility 5991102063 Practice locations: Chicago, IL

Skilled nursing facility certification: CCN 145885

Legal name
MAYFIELD CARE AND REHABILITATION CENTER LLC
Doing business as
COMPLETE CARE AT THE BOULEVARD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1996
Last certification
Feb 7, 2025
Beds
156
Ownership / control type
Corporation
Multi-facility organization
Complete Care
Organization structure
LLCProprietary
Enrollment address
5905 W Washington Blvd
Chicago, IL 60644-2845
Nursing home name
COMPLETE CARE AT THE BOULEVARD
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at the BoulevardCCN 145885 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
156123.7 residents per day on average
Chain
Complete Care85 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
9Fines totaling $300,062

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
14D2171820Complete Care at the Boulevard5905 W Washington, Chicago, IL 60644Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Peace Capital Holdings LLC Organization, Toms River,, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 70.2%
Adp of the SNF Dec 1, 2025
PC Chicago Topco LLC Organization, Toms River, NJ Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 70.2%
Adp of the SNF Dec 1, 2025
Daniel Sternbuch Individual Operational/Managerial Control Dec 1, 2025
Adp of the SNF Dec 1, 2025
Indirect Ownership Interest Dec 1, 2025 4.9%
Jacob Klugman Individual Adp of the SNF Dec 1, 2025
Indirect Ownership Interest Dec 1, 2025 4.9%
SMS 2021 Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Dec 1, 2025 60.76%
Trustee of the SNF Dec 1, 2025
Adp of the SNF Dec 1, 2025
Darnell Fortney Individual Operational/Managerial Control May 21, 2024
Adp of the SNF May 21, 2024
Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Jun 29, 2021
Organization, Toms River, NJ LLC Adp of the SNF Feb 16, 2026
Krishdeep Khosla Individual Operational/Managerial Control Oct 1, 2005
Adp of the SNF Feb 16, 2026
Yitzchok Meir Levovitz Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 20%
Operational/Managerial Control Dec 1, 2025
Managing Control - Governing Body Dec 1, 2025
Adp of the SNF Dec 1, 2025
Des Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Dec 1, 2025
Indirect Ownership Interest Dec 1, 2025 4.9%
Beronica James Individual Operational/Managerial Control Aug 21, 2024
Adp of the SNF Aug 21, 2024
NJ Chicago Opco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 29, 2021 100%
JRK Investments LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Dec 1, 2025
Indirect Ownership Interest Dec 1, 2025 4.9%
Shalom Stein Individual Corporate Director Dec 1, 2025
Managing Control - Governing Body Dec 1, 2025
Trustee of the SNF Dec 1, 2025

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 66

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

View all 66

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1487224648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 W WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606442845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 W WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606442845",
            "telephone_number": "773-261-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD CARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "SILVERBERG",
        "authorized_official_first_name": "NISANEL",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "612-432-3701"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.