Organization Active NPI

Little Village Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1609396167
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
54643 Issued in IL
Legal business name
LITTLE VILLAGE NURSING AND REHABILITATION CENTER, LLC
Practice address
2320 S Lawndale Ave
Chicago, IL 60623-3154
Phone
(773) 522-0400
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
David Mashiach
Title
Manager
Phone
(773) 522-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 54643 IL Primary

Addresses

Primary practice location

2320 S Lawndale Ave
Chicago, IL 60623-3154

Mailing address

2320 S Lawndale Ave
Chicago, IL 60623-3154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171003006555 IL Part A Provider - Skilled Nursing Facility 9931474863 Practice locations: Chicago, IL

Skilled nursing facility certification: CCN 146018

Legal name
LITTLE VILLAGE NURSING AND REHABILITATION CENTER, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 7, 2002
Last certification
Dec 6, 2024
Beds
106
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Aug 1, 2017
Organization structure
LLCProprietary
Incorporated
Jun 12, 2017 in IL
Enrollment address
2320 S Lawndale Ave
Chicago, IL 60623-3154
Nursing home name
LITTLE VILLAGE NRSG & RHB CTR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Little Village NRSG & RHB CtrCCN 146018
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 7, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10695.4 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $96,359

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
14D2193903Little Village Nursing & Rehabilitation2320 S Lawndale Ave, Chicago, IL 60623Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Yechiel Mashiach Individual 5% Or Greater Direct Ownership Interest Aug 1, 2017 40%
Operational/Managerial Control Aug 1, 2017
Managing Control - Governing BodyManager Aug 1, 2017
Adp of the SNF Aug 1, 2017
Individual Adp of the SNF Aug 1, 2017
Organization, Evanston, IL LLC Adp of the SNF Aug 1, 2017
Yaacov Mashiach Individual 5% Or Greater Direct Ownership Interest Aug 1, 2017 40%
Operational/Managerial Control Aug 1, 2017
Managing Control - Governing BodyManager Aug 1, 2017
Adp of the SNF Aug 1, 2017
Stephanie White Individual Operational/Managerial Control Aug 1, 2017
Adp of the SNF Aug 1, 2017
Khaja Aliuddin Individual Operational/Managerial Control Aug 1, 2017
Adp of the SNF Aug 1, 2017
Organization, Evanston, IL LLC Adp of the SNF Aug 1, 2017
Organization, Chicago, IL LLC Adp of the SNF Apr 10, 2025
Rita Lipshitz Individual 5% Or Greater Direct Ownership Interest Aug 1, 2017 20%
Individual Adp of the SNF Aug 1, 2017
Gemino Healthcare Finance LLC Organization, Philadelphia, PA LLC, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Mar 31, 2023
Organization, Chicago, IL LLC Adp of the SNF Apr 10, 2025
Individual Adp of the SNF Aug 1, 2017

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1609396167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 S LAWNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 S LAWNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233154",
            "telephone_number": "773-522-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE VILLAGE NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "MASHIACH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-522-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "54643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.