Organization Active NPI

Berkeley Nursing and Rehab

  • Skilled Nursing Facility
  • Oak Park, IL
National Provider Identifier
1497089973
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1945376 Issued in IL
Legal business name
BERKELEY NURSING AND REHAB
Practice address
6909 North Ave
Oak Park, IL 60302-1008
Phone
(708) 386-1112
Fax
(708) 524-4818
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Sarrah Joshua
Title
Controller
Phone
(708) 386-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1945376 IL Primary

Addresses

Primary practice location

6909 North Ave
Oak Park, IL 60302-1008

Mailing address

6909 North Ave
Oak Park, IL 60302-1008
Phone (708) 386-1112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091215000138 IL Part A Provider - Skilled Nursing Facility 0143360677 Practice locations: Oak Park, IL

Skilled nursing facility certification: CCN 146013

Legal name
BERKELEY NURSING AND REHAB
Doing business as
BERKLEY NURSING AND REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 2002
Last certification
Apr 4, 2025
Beds
72
Ownership / control type
Individual
Most recent change of ownership
Sep 1, 2009
Organization structure
LLCProprietary
Enrollment address
6909 North Ave
Oak Park, IL 60302-1008
Nursing home name
BERKELEY NURSING & REHAB CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Berkeley Nursing & Rehab CenterCCN 146013 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Feb 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7260.4 residents per day on average
Penalties (3 years)
23Fines totaling $230,332

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Rajiv Kandala Individual Adp of the SNF Jan 13, 2026
Phillip L Morgenstern Individual Operational/Managerial Control Mar 19, 2024
Adp of the SNF Jan 9, 2026
Joseph Blisko Individual 5% Or Greater Direct Ownership Interest Sep 1, 2009 99%
Alan Jason Irni Individual Operational/Managerial Control Oct 1, 2010
Adp of the SNF Oct 1, 2010
Nancy a Blisko Individual 5% Or Greater Direct Ownership Interest Sep 1, 2009 1%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

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": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1497089973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021008",
            "telephone_number": "708-386-1112",
            "fax_number": "708-524-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021008",
            "telephone_number": "708-386-1112",
            "fax_number": "708-524-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY NURSING AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "JOSHUA",
        "authorized_official_first_name": "SARRAH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "708-386-1112"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1945376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.