NPIMap

Organization Active NPI

Ambassador Nursing and Rehabilitation Center II LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1679746317
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AMBASSADOR NURSING AND REHABILITATION CENTER II LLC
Practice address
4900 N Bernard St
Chicago, IL 60625-5146
Phone
(773) 583-7130
Fax
(773) 583-3929
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mr. Moishe Gubin
Title
Owner, Cfo
Phone
(219) 661-8590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4900 N Bernard St
Chicago, IL 60625-5146

Mailing address

4900 N Bernard St
Chicago, IL 60625-5146
Phone (773) 583-7130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090303000105 IL Part A Provider - Skilled Nursing Facility 6709942576 Practice locations: Chicago, IL

Skilled nursing facility certification: CCN 145343

Legal name
AMBASSADOR NURSING AND REHABILITATION CENTER II LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 16, 1977
Last certification
Jul 12, 2024
Beds
190
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Aug 6, 2007 in IL
Enrollment address
4900 N Bernard Street
Chicago, IL 60625-5146
Nursing home name
AMBASSADOR NURSING & REHAB CENTER
Affiliated entity
INFINITY HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ambassador Nursing & Rehab CenterCCN 145343
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 16, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
190179.6 residents per day on average
Chain
Infinity Healthcare Consulting69 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $111,884

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Gubin Enterprises Limited Partnership Organization, South Bend, IN 5% Or Greater Direct Ownership Interest Nov 1, 2013 37.5%
A&F Realty LLC Organization, South Bend, IN LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 31, 2008 5%
Michael Blisko Individual 5% Or Greater Direct Ownership Interest Mar 31, 2008 37.5%
B & N Realty Investment LLC Organization, Brooklyn, NY LLC 5% Or Greater Direct Ownership Interest Mar 31, 2008 20%
Raphael Nudell Individual W-2 Managing EmployeeAdministrator Nov 8, 2018

Facilities with the same owner 31

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

View all 31

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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1679746317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N BERNARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255146",
            "telephone_number": "773-583-7130",
            "fax_number": "773-583-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N BERNARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255146",
            "telephone_number": "773-583-7130",
            "fax_number": "773-583-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR NURSING AND REHABILITATION CENTER II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "GUBIN",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "OWNER, CFO",
        "authorized_official_telephone_number": "219-661-8590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.