NPIMap

Organization Active NPI

Axiom Gardens of Mount Vernon LLC

  • Skilled Nursing Facility
  • Mount Vernon, IL
National Provider Identifier
1669209151
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AXIOM GARDENS OF MOUNT VERNON LLC
Practice address
5 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone
(618) 242-1064
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Jennifer Spector
Title
VP of Revenue Cycle Management
Phone
(847) 262-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5 Doctors Park Rd
Mount Vernon, IL 62864-6224

Mailing address

4655 W Chase Ave
Lincolnwood, IL 60712-1605
Phone (847) 262-3800

Other names 1

  • Axiom Gardens OF Mount Vernon Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260116000813 IL Part A Provider - Skilled Nursing Facility 2163909516 Practice locations: Mount Vernon, IL

Skilled nursing facility certification: CCN 146201

Legal name
AXIOM GARDENS OF MOUNT VERNON LLC
Doing business as
AXIOM GARDENS OF MOUNT VERNON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 24, 2026
Last certification
Apr 24, 2026
Beds
106
Ownership / control type
Corporation
Multi-facility organization
Axiom Healthcare
Organization structure
LLCProprietary
Enrollment address
5 Doctors Park Rd
Mount Vernon, IL 62864-6224
Nursing home name
AXIOM GARDENS OF MOUNT VERNON
Affiliated entity
AXIOM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Axiom Gardens of Mount VernonCCN 146201
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 24, 2026
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
106
Chain
Axiom Healthcare8 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $63,330

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Axiom Gardens of Mount Vernon2 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 18

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

NameRoleSinceShare
Jennifer Spector Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyCoo Dec 1, 2024
Adp of the SNF Dec 1, 2024
Yosef Meystel Individual 5% Or Greater Indirect Ownership InterestMember Dec 1, 2024 25%
Managing Control - Governing BodyMember Dec 1, 2024
Petersen SNF Holdings LLC Organization, Lincolnwood, IL LLC Adp of the SNF Dec 22, 2025
Eliana Dauber Individual Managing Control - Governing BodyMember Dec 1, 2024
Megan Chester Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Axiom Care, LLC Organization, Lincolnwood, IL LLC, Management services company, Consulting firm, Chain home office Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 22, 2025
Chaim Rajchenbach Individual Adp of the SNF Dec 1, 2024
Jonathan Dauber Individual 5% Or Greater Direct Ownership InterestCeo Dec 1, 2024 50%
Corporate OfficerCeo Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyMember Dec 1, 2024
Adp of the SNF Dec 1, 2024
Asad Zaman Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Jessica Rachelle Webb Individual Adp of the SNF Dec 1, 2024
Steven Turofsky Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
David Berkowitz Individual 5% Or Greater Indirect Ownership InterestMember Dec 1, 2024 25%
Managing Control - Governing BodyMember Dec 1, 2024
Yosef Meystel Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 25%
Mordechai Kaplan Individual Adp of the SNF Dec 1, 2024
David a Berkowitz Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 25%
Naftali Wilhelm Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Curis Services LLC Organization, Lincolnwood, IL LLC, Consulting firm Adp of the SNF Dec 1, 2024
Kiersten Osborne Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1669209151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 W CHASE AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121605",
            "telephone_number": "847-262-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DOCTORS PARK RD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646224",
            "telephone_number": "618-242-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM GARDENS OF MOUNT VERNON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "847-262-3800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axiom Gardens OF Mount Vernon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.