Active NPI
Loft Rehabilitation and Nursing of Normal LLC
- Skilled Nursing Facility
- Normal, IL
National Provider Identifier
1508334780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LOFT REHABILITATION AND NURSING OF NORMAL LLC
- Practice address
- 510 Broadway
Normal, IL 61761-3762 - Phone
- (309) 452-4406
- Fax
- (309) 454-7908
- NPI assigned
- Nov 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Aaron
- Title
- Member
- Phone
- (846) 679-8219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
510 Broadway
Normal, IL 61761-3762
Mailing address
3359 Main St
Skokie, IL 60076-2432
Phone (847) 679-8219
Other names 1
- Loft Rehabilitation and Nursing of Normal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190123001891 | IL | Part A Provider - Skilled Nursing Facility | 9234476623 | Practice locations: Normal, IL |
Skilled nursing facility certification: CCN 145031
- Legal name
- LOFT REHABILITATION AND NURSING OF NORMAL LLC
- Doing business as
- LOFT REHABILITATION AND NURSING OF NORMAL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Oct 9, 2024
- Beds
- 116
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- The Loft Rehabilitation Nursing LLC
- Most recent change of ownership
- Dec 1, 2018
- Organization structure
- LLC
- Incorporated
- Oct 30, 2018 in IL
- Enrollment address
- 510 Broadway
Normal, IL 61761-3762 - Nursing home name
- LOFT REHAB & NURSING OF NORMAL
- Affiliated entity
- THE LOFT REHABILITATION AND NURSING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Loft Rehab & Nursing of Normal
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 116
- Chain
- The Loft Rehabilitation and Nursing
- Penalties (3 years)
- 7
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2161041 | Loft Rehabilitation of Normal | Certificate of waiver | Jan 23, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Fred L Aaron | Corporate Officer | Dec 1, 2018 | 33% |
| Robert Aaron | 5% Or Greater Direct Ownership Interest | Dec 1, 2018 | 22.6% |
| Corporate Officer | Dec 1, 2018 | 33% | |
| Adam Aaron | 5% Or Greater Direct Ownership Interest | Dec 1, 2018 | 22.6% |
| Daniel Aaron | 5% Or Greater Direct Ownership Interest | Dec 1, 2018 | 22.6% |
| Corporate Officer | Dec 1, 2018 | 33% | |
| Michael Aaron | 5% Or Greater Direct Ownership Interest | Dec 1, 2018 | 22.6% |
| Daniel Ritter | W-2 Managing Employee | Dec 1, 2018 | 100% |
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": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580342400000",
"number": "1508334780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3359 MAIN ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762432",
"telephone_number": "847-679-8219",
"fax_number": "847-679-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BROADWAY",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613762",
"telephone_number": "309-452-4406",
"fax_number": "309-454-7908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOFT REHABILITATION AND NURSING OF NORMAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A",
"authorized_official_last_name": "AARON",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "846-679-8219",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Loft Rehabilitation and Nursing of Normal",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.