South Elgin Living & Rehab Center LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

SOUTH ELGIN LIVING & REHAB CENTER LLC

Practice address

746 W Spring St
South Elgin, IL 60177-1424

Phone

(847) 679-2121

NPI assigned

Oct 9, 2024

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

Authorized Official

Phone

(847) 679-2121

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Skilled nursing facility certification: CCN 145825

Legal name

SOUTH ELGIN LIVING & REHAB CENTER LLC

Doing business as

SOUTH ELGIN LIVING & REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Mar 15, 1995

Last certification

May 31, 2024

Beds

90

Ownership / control type

Corporation

Multi-facility organization

Peterson Healthcare

Organization structure

LLCProprietary

Enrollment address

746 W Spring St
South Elgin, IL 60177-1424

Nursing home name

SOUTH ELGIN LIVING & REHAB CENTER

Affiliated entity

LINEAGE HEALTHCARE

Listed as

South Elgin Living & Rehab CenterCCN 145825

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 15, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9056.0 residents per day on average

Chain

Lineage Healthcare5 facilities in the chain

Penalties (3 years)

4Fines totaling $231,656

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 19

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

Facilities with the same owner 1

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

• Sandwich Living & Rehab Center LLC

  • Skilled Nursing Facility
  • Sandwich, IL
  • NPI 1598584237

  Petlin Holdings LLC

  CMS ownership

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": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1619796356",
    "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",
            "telephone_number": "847-679-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771424",
            "telephone_number": "847-679-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ELGIN LIVING & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "BRAUNSTEIN",
        "authorized_official_first_name": "EPHRAIM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-679-2121"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver Glen Family Dental
• Susan Simmonds, PTA
• Solstice Integrative Psychiatry, PLLC
• South Elgin and Countryside Fire Protection District
• South Elgin Chiropractic Associates
• Spring View Dental, Incorporated
• Desmond Stallworth, MD
• Katherine Staniek
• Elzbieta Stanisz
• Diamond Lonyah Steele, LPN

• Nursing Facility/Intermediate Care Facility in South Elgin, IL
• Providers in South Elgin, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.