NPIMap

Organization Active NPI

Gilman Healthcare Center, LLC

  • Skilled Nursing Facility
  • Gilman, IL
National Provider Identifier
1669638789
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GILMAN HEALTHCARE CENTER, LLC
Practice address
1390 S Crescent St
Gilman, IL 60938-6129
Phone
(815) 265-7208
NPI assigned
Jul 29, 2008
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mr. Barak Baver
Title
Manager
Phone
(312) 206-9079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1390 S Crescent St
Gilman, IL 60938-6129

Mailing address

2824 W Coyle Ave
Chicago, IL 60645-2922
Phone (312) 206-9079

Other identifiers 1

IdentifierTypeStateIssuer
14-5347OtherMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081215000205 IL Part A Provider - Skilled Nursing Facility 2567524283 Practice locations: Gilman, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669638789. Details of each certification follow.

Skilled nursing facility certification: CCN 145347

Legal name
GILMAN HEALTHCARE CENTER, LLC
Doing business as
GILMAN HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1978
Last certification
May 24, 2024
Beds
99
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Apr 1, 2008 in IL
Enrollment address
1390 S Crescent St
Gilman, IL 60938-6129
Nursing home name
GILMAN HEALTHCARE CENTER
Affiliated entity
PREMIER HEALTHCARE OF ILLINOIS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gilman Healthcare CenterCCN 145347 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9955.7 residents per day on average
Chain
Premier Healthcare of Illinois3 facilities in the chain
Penalties (3 years)
4Fines totaling $168,256

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Judith Pree Individual W-2 Managing Employee Jun 1, 2008
Barak Baver Individual 5% Or Greater Direct Ownership Interest Jul 21, 2020 75%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1669638789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 W COYLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452922",
            "telephone_number": "312-206-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S CRESCENT ST",
            "city": "GILMAN",
            "state": "IL",
            "postal_code": "609386129",
            "telephone_number": "815-265-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMAN HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BAVER",
        "authorized_official_first_name": "BARAK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-206-9079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "14-5347",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilman, IL

Sources for this page

Verify at the official NPI Registry.