NPIMap

Organization Active NPI

Niles Nursing & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Niles, IL
National Provider Identifier
1508029919
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NILES NURSING & REHABILITATION CENTER, LLC
Practice address
9777 N Greenwood Ave
Niles, IL 60714-1002
Phone
(847) 967-7000
Fax
(847) 967-5054
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mr. Michael Blisko
Title
Coo
Phone
(815) 791-7859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9777 N Greenwood Ave
Niles, IL 60714-1002

Mailing address

9777 N Greenwood Ave
Niles, IL 60714-1002
Phone (847) 967-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090209000130 IL Part A Provider - Skilled Nursing Facility 9234294273 Practice locations: Niles, IL

Skilled nursing facility certification: CCN 145696

Legal name
NILES NURSING & REHABILITATION CENTER, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 13, 1991
Last certification
Dec 5, 2024
Beds
304
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
May 27, 2008 in IL
Enrollment address
9777 Greenwood Ave
Niles, IL 60714-1002
Nursing home name
NILES NSG & REHAB CTR
Affiliated entity
INFINITY HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Niles NSG & Rehab CtrCCN 145696
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 13, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
304281.2 residents per day on average
Chain
Infinity Healthcare Consulting69 facilities in the chain

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
14D0664094Niles Nursing & Rehabilitation Center9777 Greenwood, Niles, IL 60714Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hampton Plaza Nursing and Rehabilitation Center2 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 4

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

NameRoleSinceShare
Gubin Enterprises Limited Partnership Organization, South Bend, IN 5% Or Greater Direct Ownership Interest Jan 1, 2014 40%
John Marc Sianghio Individual W-2 Managing EmployeeAdministrator Aug 2, 2015
Michael Blisko Individual 5% Or Greater Direct Ownership InterestManager Sep 1, 2008 40%
A & F Realty LLC Organization, South Bend, IN LLC 5% Or Greater Direct Ownership Interest Sep 1, 2008 20%

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1508029919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 N GREENWOOD AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141002",
            "telephone_number": "847-967-7000",
            "fax_number": "847-967-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 N GREENWOOD AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141002",
            "telephone_number": "847-967-7000",
            "fax_number": "847-967-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILES NURSING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "BLISKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "815-791-7859",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.