NPIMap

Organization Active NPI

Wheeling Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Wheeling, IL
National Provider Identifier
1548814973
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WHEELING SKILLED NURSING FACILITY LLC
Practice address
730 W Hintz Rd
Wheeling, IL 60090-5501
Phone
(847) 537-7474
Fax
(847) 537-7599
NPI assigned
Jul 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Menachem Shabat
Title
Member/Coo
Phone
(847) 679-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

730 W Hintz Rd
Wheeling, IL 60090-5501

Mailing address

3450 Oakton St
Skokie, IL 60076-2951
Phone (847) 679-9797

Other names 1

  • Bella Terra Wheeling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191001001051 IL Part A Provider - Skilled Nursing Facility 5193055317 Practice locations: Wheeling, IL

Skilled nursing facility certification: CCN 145835

Legal name
WHEELING SKILLED NURSING FACILITY, LLC
Doing business as
BELLA TERRA WHEELING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 7, 1995
Last certification
Mar 13, 2025
Beds
215
Ownership / control type
Corporation
Most recent change of ownership
Sep 1, 2019
Organization structure
LLCProprietary
Enrollment address
730 W Hintz Rd
Wheeling, IL 60090-5501
Nursing home name
BELLA TERRA WHEELING
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bella Terra WheelingCCN 145835
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 - Corporation
Certified
Jun 7, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
215169.8 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
2Fines totaling $28,054

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
14D2172579Bella Terra Wheeling730 W Hintz Rd, Wheeling, IL 60090Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Individual Indirect Ownership Interest Sep 1, 2019 4.9%
Boris Gurevich Individual Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Individual Indirect Ownership Interest Sep 1, 2019 2.6%
Menachem Shabat Individual Operational/Managerial Control Sep 1, 2019
Managing Control - Governing BodyManager of the Manager Sep 1, 2019
Adp of the SNF Sep 1, 2019
Individual Indirect Ownership Interest Sep 1, 2019 4.9%
Miller Cooper & Co, LTD Organization, Deerfield, IL Consulting firm Adp of the SNF Jan 1, 2024
Individual Indirect Ownership Interest Sep 1, 2019 2.6%
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Dec 27, 2019 42.5%
Adp of the SNF Sep 1, 2019
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Sep 1, 2019
Adp of the SNF Nov 12, 2025
Oakway Operations LLC Organization, Skokie, IL LLC 5% Or Greater Direct Ownership Interest Dec 27, 2019 15%
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Dec 27, 2019 42.5%
Adp of the SNF Sep 1, 2019
Forbright Bank Organization, Bethesda, MD Financial institution 5% Or Greater Security Interest Sep 1, 2019 100%
Operational/Managerial Control Sep 1, 2019
Michael Florczak Individual Operational/Managerial Control Aug 4, 2024
Adp of the SNF Aug 4, 2024
Wheeling Property Holdings. LLC Organization, Skokie, IL LLC 5% Or Greater Security Interest Sep 1, 2019 100%
Adp of the SNF Sep 1, 2019
Individual Adp of the SNF Sep 1, 2019

Owners & managing parties with NPI records 1

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

Facilities with the same owner 90

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

View all 90

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": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1548814973",
    "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": "847-679-9797",
            "fax_number": "847-676-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W HINTZ RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905501",
            "telephone_number": "847-537-7474",
            "fax_number": "847-537-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELING SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "SHABAT",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "MEMBER/COO",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Terra Wheeling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheeling, IL

Sources for this page

Verify at the official NPI Registry.