Palos Hills Healthcare LP
Organization Active NPI Skilled Nursing Facility · Palos Hills, IL
NPI 1508170291 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1508170291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0046029 (IL)
- Legal business name
- PALOS HILLS HEALTHCARE LP
- Practice address
- 10426 S Roberts Rd
Palos Hills, IL 60465-1932 - Phone
- (708) 598-3460
- Fax
- (708) 598-0520
- NPI assigned
- Aug 5, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Avrum Weinfeld
- Title
- Cfo
- Phone
- (847) 933-9200
Owners & managing parties with NPI records 1
-
Navdeep Dhaliwal, M.D.
Corporate family (same tax ID) 1
Facilities with the same owner 4
Affiliated clinicians 5
-
Husam M. Ali, MD
-
Noorun M Khan, M.D.
-
Andrew Ow, M.D.
-
Sandeep Pulimi, MD
Medicare Care Compare: Nursing home
- Listed as
- Nexus at Palos
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 24, 1989
- Medicare certification status
- Active
- Certified beds
- 207 · 158.6 residents per day on average
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 12 · fines totaling $458,668
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 145650
- Legal name
- PALOS HILLS HEALTHCARE LP
- Doing business as
- BRIA OF PALOS HILLS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 24, 1989
- Last certification
- May 16, 2025
- Beds
- 223 (207 certified)
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Partnership · Proprietary
- Enrollment address
- 10426 S Roberts Rd
Palos Hills, IL 60465-1932
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Natan Weiss |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 33.33% |
| Wheat Chaff LP |
5% Or Greater Direct Ownership Interest | Jan 1, 2024 | 33.33% |
| Amy Weiss |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 33.33% |
| Avrum Weinfeld |
5% Or Greater Direct Ownership Interest |
Jul 28, 2010 | 33.33% |
| 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 2% | |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Daniel T Weiss |
5% Or Greater Direct Ownership Interest |
Jul 28, 2010 | 33.33% |
| 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 2% | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Adp of the SNF | Jul 1, 2022 | ||
| Navdeep Dhaliwal |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Maivette Gleason |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101004000543 | IL | Part a Provider - Skilled Nursing Facility | 4688866163 | Practice locations: Palos Hills, IL |
National Provider Directory
- Tax ID family
- Palos Hills Healthcare LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0046029 | IL | Yes |
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
10426 S Roberts Rd
Palos Hills, IL 60465-1932
Mailing address
5151 Church St
Skokie, IL 60077-1123
Phone (847) 933-9200
Other names
- Bria of Palos Hills
Other providers in Palos Hills, IL
- Veronica Palar
- Palos Cardiovascular Center PLLC
- Palos Hills Extended Care LLC
- Palos Hills Extended Care LLC
- Palos Hills Healthcare LLC
- Palos Hills Surgery Center LLC
- Palos Hills Surgery Center, LLC
- Palos Home Care Inc
- Palos Medical Center PLLC
- Palos Orthodontics
All providers in Palos Hills, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.