NPIMap

Organization Active NPI

Cedar Rapids Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Cedar Rapids, IA
National Provider Identifier
1699489385
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CEDAR RAPIDS SKILLED NURSING FACILITY LLC
Practice address
1940 1St Ave NE
Cedar Rapids, IA 52402-5321
Phone
(319) 364-5151
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Chaim Rajchenbach
Title
Principal
Phone
(847) 745-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1940 1St Ave NE
Cedar Rapids, IA 52402-5321

Mailing address

3450 Oakton St
Skokie, IL 60076-2951
Phone (847) 745-7000

Other names 1

  • Harmony Cedar Rapids Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230605002924 IA Part A Provider - Skilled Nursing Facility 6103283296 Practice locations: Cedar Rapids, IA

Skilled nursing facility certification: CCN 165017

Legal name
CEDAR RAPIDS SKILLED NURSING FACILITY LLC
Doing business as
HARMONY CEDAR RAPIDS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jan 15, 2025
Beds
96
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Legacy Healthcare Financial Services, LLC
Organization structure
LLCProprietary
Incorporated
Dec 12, 2022 in IA
Enrollment address
1940 1St Ave NE
Cedar Rapids, IA 52402-5321
Nursing home name
HARMONY CEDAR RAPIDS
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harmony Cedar RapidsCCN 165017
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9678.1 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
1Fines totaling $10,509

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
16D0386907Harmony Cedar Rapids1940 First Avenue NE, Cedar Rapids, IA 52402Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Individual Indirect Ownership Interest Apr 1, 2023 4.9%
Menachem Shabat Individual Operational/Managerial Control Apr 1, 2023
Managing Control - Governing BodyManager of the Manager Apr 1, 2023
Adp of the SNF Apr 1, 2023
Individual Indirect Ownership Interest Apr 1, 2023 2.6%
Miller Cooper & Co, LTD Organization, Deerfield, IL Consulting firm Adp of the SNF Jan 1, 2024
Individual Indirect Ownership Interest Apr 1, 2023 4.9%
Justin R Knapp Individual Operational/Managerial Control Jan 29, 2025
Adp of the SNF Jan 29, 2025
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Apr 1, 2023 59.5%
Individual Indirect Ownership Interest Apr 1, 2023 2.6%
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Apr 1, 2023
Adp of the SNF Nov 18, 2025
Oakway Operations LLC Organization, Skokie, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2023 15%
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Apr 1, 2023 25.5%
Forbright Bank Organization, Chevy Chase, MD Financial institution 5% Or Greater Security Interest Apr 1, 2023 100%
Operational/Managerial Control Apr 1, 2023
Eric J Stenberg Individual Operational/Managerial Control Apr 1, 2023
Adp of the SNF Apr 1, 2023

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 90

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

View all 90

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1699489385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762951",
            "telephone_number": "847-745-7000",
            "fax_number": "847-745-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025321",
            "telephone_number": "319-364-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RAPIDS SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-745-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Cedar Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.