NPIMap

Organization Active NPI

Lieberman Skilled Nursing Facility LLC

Doing business as Warren Barr Lieberman

  • Skilled Nursing Facility
  • Skokie, IL
National Provider Identifier
1528630837
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIEBERMAN SKILLED NURSING FACILITY LLC
Doing business as
Warren Barr Lieberman
Practice address
9700 Gross Point Rd
Skokie, IL 60076-1175
Phone
(847) 674-7210
Fax
(847) 674-6366
NPI assigned
Jul 15, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Daniel Garden
Title
MBR
Phone
(847) 745-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9700 Gross Point Rd
Skokie, IL 60076-1175

Mailing address

3450 Oakton St
Skokie, IL 60076-2951
Phone (847) 745-7000

Other names 1

  • Warren Barr Lieberman Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210831002275 IL Part A Provider - Skilled Nursing Facility 4880090851 Practice locations: Skokie, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528630837. Details of each certification follow.

Skilled nursing facility certification: CCN 145931

Legal name
LIEBERMAN SKILLED NURSING FACILITY LLC
Doing business as
WARREN BARR LEIBERMAN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1997
Last certification
May 9, 2025
Beds
240
Ownership / control type
Limited Liability Corporation
Multi-facility organization
NA
Most recent change of ownership
Aug 1, 2021
Organization structure
LLCProprietary
Enrollment address
9700 Gross Point Rd
Skokie, IL 60076-1175
Nursing home name
WARREN BARR LIEBERMAN
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Warren Barr LiebermanCCN 145931 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
240233.4 residents per day on average
Chain
Legacy Healthcare89 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
14D0646423Warren Barr Lieberman Skilled Nursing Facility9700 Gross Point Rd, Skokie, IL 60076Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Mordechay Ninio Individual 5% Or Greater Direct Ownership InterestOwner Aug 1, 2021 7.5%
Tbdmd Il, LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Aug 1, 2021
Daniel Garden Individual 5% Or Greater Direct Ownership InterestMember Aug 1, 2021 58.5%
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2021 17%
Operational/Managerial Control Aug 1, 2021
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Aug 1, 2021 17%
Shilip Chona Individual W-2 Managing EmployeeAdministrator Aug 1, 2021

Facilities with the same owner 84

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

View all 84

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1528630837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762951",
            "telephone_number": "847-745-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761175",
            "telephone_number": "847-674-7210",
            "fax_number": "847-674-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEBERMAN SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "GARDEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "847-745-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren Barr Lieberman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.