Active NPI
Dupage County
Doing business as DuPage Convalescent Center
- Skilled Nursing Facility
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0008201
- Legal business name
- DUPAGE COUNTY
- Doing business as
- DuPage Convalescent Center
- Practice address
- 400 N County Farm Rd
Wheaton, IL 60187-3908 - Phone
- (630) 665-6400
- Fax
- (630) 784-4203
- NPI assigned
- Oct 3, 2005
- Last updated
- Mar 9, 2012
- 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
- Ms. Elizabeth M Welch, MPH, MSM, LNHA
- Title
- Administrator
- Phone
- (630) 665-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0008201 | IL | Primary |
Addresses
Primary practice location
400 N County Farm Rd
Wheaton, IL 60187-3908
Mailing address
400 N County Farm Rd
Wheaton, IL 60187-3908
Phone (630) 665-6400
Other names 1
- DuPage Convalescent Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040129000225 | IL | Part A Provider - Skilled Nursing Facility | 3779486527 | Practice locations: Wheaton, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649267980. Details of each certification follow.
Skilled nursing facility certification: CCN 145050
- Legal name
- DUPAGE COUNTY
- Doing business as
- DUPAGE CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Aug 23, 2024
- Beds
- 366
- Ownership / control type
- County
- Organization structure
- Government
- Enrollment address
- 400 N County Farm Rd
Wheaton, IL 60187-3908 - Nursing home name
- DUPAGE CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Dupage Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 366
National Provider Directory
National Provider Directory- Tax ID family
- Dupage County Community Services
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Wheaton, IL
- NPI 1598928285
-
- Oxygen Equipment & Supplies (DME)
- Wheaton, IL
- NPI 1609038959
-
- Skilled Nursing Facility
- Wheaton, IL
- NPI 1952563207
-
dba DuPage Care Center Inpatient Pharmacy
- Long Term Care Pharmacy
- Wheaton, IL
- NPI 1649364050
-
- Case Management Agency
- Wheaton, IL
- NPI 1730496357
Ownership & related parties
All disclosed owners & managing parties 20
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 |
|---|---|---|---|
| Inva Memisha | Operational/Managerial Control | Jun 28, 2021 | |
| Adp of the SNF | Jun 28, 2021 | ||
| Janelle L Chadwick | Operational/Managerial Control | Jul 24, 2017 | |
| Adp of the SNF | Jul 24, 2017 | ||
| Mario a Plata | Operational/Managerial Control | Jan 15, 2008 | |
| Adp of the SNF | Jan 15, 2008 | ||
| Annabel Leonida Lomadilla | Operational/Managerial Control | Feb 27, 2019 | |
| Adp of the SNF | Feb 27, 2019 | ||
| Angelo Miele | Operational/Managerial Control | Dec 1, 2020 | |
| Adp of the SNF | Dec 1, 2020 | ||
| Rhonda L Romero | Operational/Managerial Control | Feb 6, 2023 | |
| Adp of the SNF | Feb 6, 2023 | ||
| Cliftonlarsonallen LLP | Adp of the SNF | Mar 20, 2025 | |
| Arleen C Galleta | Operational/Managerial Control | Feb 6, 2023 | |
| Adp of the SNF | Feb 6, 2023 | ||
| Baker Tilly US LLP | Operational/Managerial Control | Jan 1, 2016 | |
| Adp of the SNF | Jan 1, 2016 | ||
| Heidi Bohan | Operational/Managerial Control | Apr 28, 2021 | |
| Adp of the SNF | Apr 28, 2021 | ||
| Dupage County | 5% Or Greater Direct Ownership Interest | Aug 28, 1966 | 100% |
| Adp of the SNF | Aug 8, 1966 | ||
| Symbria Rehab, Inc. | Operational/Managerial Control | Nov 1, 2017 | |
| Adp of the SNF | Nov 1, 2017 | ||
| Susan Coblentz | Operational/Managerial Control | Sep 8, 1960 | |
| Adp of the SNF | May 20, 2002 | ||
| Jonathan Klimek | Operational/Managerial Control | Oct 14, 2021 | |
| Adp of the SNF | Oct 14, 2021 | ||
| Diane B Borske | Operational/Managerial Control | Feb 4, 2023 | |
| Adp of the SNF | Feb 4, 2023 | ||
| Elizabeth M Butler | Operational/Managerial Control | Dec 10, 2022 | |
| Adp of the SNF | Dec 10, 2022 | ||
| Visalakshi Rajagopal | Operational/Managerial Control | Dec 16, 2013 | |
| Adp of the SNF | Dec 16, 2013 | ||
| Karen a Cerny | Operational/Managerial Control | Apr 21, 2014 | |
| Adp of the SNF | Apr 21, 2014 | ||
| Shauna Berman | Operational/Managerial Control | Oct 19, 2013 | |
| Adp of the SNF | Oct 19, 2013 | ||
| Vinit H Patel | Operational/Managerial Control | Jan 15, 2008 | |
| Adp of the SNF | Jan 15, 2008 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Carol Stream, IL
- NPI 1144326109
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Laurel View Village
- Skilled Nursing Facility
- Davidsville, PA
- NPI 1982679437
Baker Tilly US LLP
-
- Skilled Nursing Facility
- Jamaica Plain, MA
- NPI 1457348716
Baker Tilly US LLP
-
dba Leonard Florence Center for Living
- Skilled Nursing Facility
- Chelsea, MA
- NPI 1689806937
Baker Tilly US LLP
-
dba Katzman Family Center for Living
- Skilled Nursing Facility
- Chelsea, MA
- NPI 1891780268
Baker Tilly US LLP
-
dba Edelweiss Village
- Skilled Nursing Facility
- West Roxbury, MA
- NPI 1528062387
Baker Tilly US LLP
-
dba Jeffrey & Susan Brudnick Center for Living
- Skilled Nursing Facility
- Peabody, MA
- NPI 1730287632
Baker Tilly US LLP
-
dba South Cove Manor Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Quincy, MA
- NPI 1194146704
Symbria Rehab, Inc.
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": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331251200000",
"number": "1649267980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N COUNTY FARM RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873908",
"telephone_number": "630-665-6400",
"fax_number": "630-784-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N COUNTY FARM RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873908",
"telephone_number": "630-665-6400",
"fax_number": "630-784-4203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUPAGE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2012-03-09",
"status": "A",
"authorized_official_last_name": "WELCH",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "630-665-6400",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MPH, MSM, LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0008201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DuPage Convalescent Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wheaton, IL
- Dunnlark Counseling Services, PLLC
- Maggie Duong
- Dupage Convalescent Center
- Dupage Convalescent Center
- Dupage County (DuPage Care Center Outpatient Pharmacy)
- Dupage County (DuPage Care Center Inpatient Pharmacy)
- Dupage County Community Services
- Dupage Eye Anesthesiology LLC
- Dupage Eye Surgery Center, LLC
- Dupage Foot and Ankle LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.