Active NPI
Forest City Rehab and Nursing Center, LLC
- Skilled Nursing Facility
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FOREST CITY REHAB AND NURSING CENTER, LLC
- Practice address
- 321 Arnold Ave
Rockford, IL 61108-2315 - Phone
- (815) 397-5531
- NPI assigned
- May 2, 2014
- Last updated
- Dec 22, 2015
- 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
- Shimon Webster
- Title
- Manager
- Phone
- (773) 945-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
321 Arnold Ave
Rockford, IL 61108-2315
Mailing address
8153 Lawndale Ave
Skokie, IL 60076-3321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140905000571 | IL | Part A Provider - Skilled Nursing Facility | 8628296530 | Practice locations: Rockford, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1588074363. Details of each certification follow.
Skilled nursing facility certification: CCN 145937
- Legal name
- FOREST CITY REHAB AND NURSING CENTER LLC
- Doing business as
- FOREST CITY REHAB & NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 1, 1997
- Last certification
- Oct 24, 2024
- Beds
- 213
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 321 Arnold Ave
Rockford, IL 61108-2315 - Nursing home name
- FOREST CITY REHAB & NRSG CTR
- Affiliated entity
- SABA HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Forest City Rehab & NRSG Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1997
- Medicare certification status
- Active
- Certified beds
- 213
- Chain
- Saba Healthcare
- Penalties (3 years)
- 5
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 |
|---|---|---|---|
| 14D0430319 | Forest City Rehab and Nursing Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Shimon Webster | 5% Or Greater Direct Ownership Interest | May 1, 2014 | 9.68% |
| Operational/Managerial Control | May 1, 2014 | ||
| Yeruchom Levovitz | 5% Or Greater Direct Ownership Interest | Aug 20, 2014 | 8.28% |
| Operational/Managerial Control | May 1, 2014 | ||
| Atied Associates LLC | 5% Or Greater Direct Ownership Interest | May 1, 2014 | 20% |
| Aharon Singer | 5% Or Greater Direct Ownership Interest | May 1, 2014 | 14% |
| Corporate Officer | Aug 24, 2017 | ||
| Operational/Managerial Control | Aug 24, 2017 | ||
| MB Financial Bank NA | 5% Or Greater Security Interest | Jun 1, 2014 | |
| Moshe Blonder | 5% Or Greater Direct Ownership Interest | Aug 20, 2014 | 14% |
| Corporate Officer | Aug 24, 2017 | ||
| Operational/Managerial Control | Aug 24, 2017 | ||
| Fredsign Holdings I LLC | 5% Or Greater Direct Ownership Interest | May 1, 2014 | 20% |
Facilities with the same owner 40
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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- Bensenville, IL
- NPI 1114317088
Atied Associates LLC
-
- Skilled Nursing Facility
- Burbank, IL
- NPI 1871057760
Atied Associates LLC
-
dba Center Home for Hispanic Elderly
- Skilled Nursing Facility
- Chicago, IL
- NPI 1649596313
Atied Associates LLC
-
- Skilled Nursing Facility
- Crestwood, IL
- NPI 1417610163
Atied Associates LLC
-
dba Elevate Care Abington
- Skilled Nursing Facility
- Glenview, IL
- NPI 1720752496
Atied Associates LLC
-
dba Elevate Care Country Club Hills
- Skilled Nursing Facility
- Country Club Hills, IL
- NPI 1144994815
Atied Associates LLC
-
dba Elevate Care North Branch
- Skilled Nursing Facility
- Niles, IL
- NPI 1942827316
Atied Associates LLC
-
dba Elevate Care Palos Heights
- Skilled Nursing Facility
- Palos Heights, IL
- NPI 1699492710
Atied Associates LLC
-
dba Elevate Care South Holland
- Skilled Nursing Facility
- South Holland, IL
- NPI 1114644234
Atied Associates LLC
-
dba Elevate Care Waukegan
- Skilled Nursing Facility
- Waukegan, IL
- NPI 1457822199
Atied Associates LLC
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": "1398988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450742400000",
"number": "1588074363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8153 LAWNDALE AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 ARNOLD AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082315",
"telephone_number": "815-397-5531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST CITY REHAB AND NURSING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-02",
"last_updated": "2015-12-22",
"status": "A",
"authorized_official_last_name": "WEBSTER",
"authorized_official_first_name": "SHIMON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "773-945-1000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
- Forest City Counseling, LLC
- Forest City Dental
- Forest City Dental PC
- Forest City Diagnostic Imaging LLC
- Forest City Physical Therapy Limited Partnership
- Forest View Counseling Services PLLC
- Form Orthotics & Prosthetics, PLLC
- Courtney Nicolle Forman, PMHNP-BC, FNP-C, FPA
- Glen Forneris
- Brian Udell Foss, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.