NPIMap

Organization Active NPI

Alden-Alma Nelson Manor, Inc.

  • Skilled Nursing Facility
  • Rockford, IL
National Provider Identifier
1619963816
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0044891 Issued in IL
Legal business name
ALDEN-ALMA NELSON MANOR, INC.
Practice address
550 S Mulford Rd
Rockford, IL 61108-2511
Phone
(815) 484-1002
Fax
(815) 484-1024
NPI assigned
Sep 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Floyd A Schlossberg
Title
President
Phone
(773) 286-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0044891 IL Primary

Addresses

Primary practice location

550 S Mulford Rd
Rockford, IL 61108-2511

Mailing address

4200 W Peterson Ave
Suite 140
Chicago, IL 60646-6074
Phone (773) 286-6622

Other identifiers 1

IdentifierTypeStateIssuer
5421OtherILBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080324000102 IL Part A Provider - Skilled Nursing Facility 8123104791 Practice locations: Rockford, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619963816. Details of each certification follow.

Skilled nursing facility certification: CCN 145142

Legal name
ALDEN-ALMA NELSON MANOR, INC.
Doing business as
ALDEN DEBES REHABILITATION AND HEALTH CARE CENTER, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1967
Last certification
Jun 27, 2024
Beds
268
Ownership / control type
Corporation
Multi-facility organization
Alden Managment Services
Organization structure
CorporationProprietary
Incorporated
May 8, 2000 in IL
Enrollment address
550 S Mulford Rd
Rockford, IL 61108-2511
Nursing home name
ALDEN DEBES REHAB & HCC
Affiliated entity
THE ALDEN NETWORK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alden Debes Rehab & HCCCCN 145142 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
268183.3 residents per day on average
Chain
The Alden Network27 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $129,985

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
14D1089524Alden-Alma Nelson Manor Inc550 South Mulford, Rockford, IL 61108Certificate of waiverSep 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Alden Debes Rehabilitation and Health Ca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Joshua P Gates Individual W-2 Managing EmployeeAdministrator Mar 31, 2014 100%
Alden Realty Services, Inc Organization, Chicago, IL Corporation 5% Or Greater Direct Ownership Interest May 8, 2000 100%
Joan P Carl Individual Corporate Officer May 8, 2000
Corporate Director May 8, 2000
Alden Management Services, Inc. Organization, Chicago, IL Corporation Operational/Managerial Control Aug 4, 2010 100%
Esther J Davis Individual Operational/Managerial ControlVP of Oper - Alden Mngmnt Srvcs Mar 15, 2010
The Floyd a Schlossberg Living Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 1, 2013 100%
Robert J Molitor Individual Operational/Managerial ControlChief Operating Officer- Alden M Jun 16, 2008
Randi Schullo Individual Corporate Officer May 8, 2000
Midcap Funding IV Trust Organization, Bethesda, MD Financial institution 5% Or Greater Security Interest Jul 1, 2018 30%
Floyd a Schlossberg Individual Corporate Officer May 8, 2000
Corporate Director May 8, 2000

Facilities with the same owner 26

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

View all 26

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": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619963816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466074",
            "telephone_number": "773-286-6622",
            "fax_number": "773-286-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082511",
            "telephone_number": "815-484-1002",
            "fax_number": "815-484-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN-ALMA NELSON MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSBERG",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-286-6622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0044891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5421",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.