Irving Park Living and Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IRVING PARK LIVING AND REHAB CENTER LLC

Practice address

4340 N Keystone Ave
Chicago, IL 60641-2121

Phone

(773) 545-8700

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

Ephraim Braunstein

Title

Manager

Phone

(773) 545-8700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Skilled nursing facility certification: CCN 145415

Legal name

IRVING PARK LIVING AND REHAB CENTER LLC

Doing business as

IRVING PARK LIVING AND REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 28, 1981

Last certification

Jan 17, 2025

Beds

117

Ownership / control type

Individual

Multi-facility organization

Lineage Health Care

Most recent change of ownership

Apr 1, 2023

Organization structure

LLCProprietary

Enrollment address

4340 N Keystone Ave
Chicago, IL 60641-2121

Nursing home name

IRVING PARK LIVING & REHAB CTR

Affiliated entity

LINEAGE HEALTHCARE

Listed as

Irving Park Living & Rehab CtrCCN 145415

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jan 28, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11790.4 residents per day on average

Chain

Lineage Healthcare5 facilities in the chain

Penalties (3 years)

2Fines totaling $10,516

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

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

• Tom Klein, MD

  • Internal Medicine Physician
  • Riverwoods, IL
  • NPI 1326094194

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tom Klein, MD

  • Internal Medicine Physician
  • Riverwoods, IL
  • NPI 1326094194
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Tom Klein, MD

  • Internal Medicine Physician
  • Riverwoods, IL
  • NPI 1326094194

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1619675089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 W ARTHUR AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 N KEYSTONE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412121",
            "telephone_number": "773-545-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING PARK LIVING AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "BRAUNSTEIN",
        "authorized_official_first_name": "EPHRAIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-545-8700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Irvine
• Sarah Irvine, LCSW
• Irving Park Dentistry, Inc.
• Irving Park Emergency Physicians LLC
• Irving Park Family Dentist
• Irving Park Periodontics, LTD.
• Irving Park Rehabilitation Center SC
• Irving Radiology, Inc
• Irving Urban Development
• Alissa Mariana Irwin, PSYD

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.

Verify at the official NPI Registry.