NPIMap

Organization Active NPI

Norton SD Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Sioux Falls, SD
National Provider Identifier
1700433703
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTON SD SKILLED NURSING FACILITY LLC
Practice address
3600 S Norton Ave
Sioux Falls, SD 57105-6331
Phone
(605) 338-9891
Fax
(605) 338-0332
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Menachem Shabat
Title
Coo/Principal
Phone
(847) 679-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3600 S Norton Ave
Sioux Falls, SD 57105-6331

Mailing address

3450 Oakton St
Skokie, IL 60076-2951
Phone (847) 679-9797

Other names 1

  • Avantara Norton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191108001581 SD Part A Provider - Skilled Nursing Facility 3971935180 Practice locations: Sioux Falls, SD

Skilled nursing facility certification: CCN 435039

Legal name
NORTON SD SKILLED NURSING FACILITY LLC
Doing business as
AVANTARA NORTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1989
Last certification
Mar 5, 2025
Beds
110
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Legacy Healthcare
Organization structure
LLCProprietary
Enrollment address
3600 S Norton Ave
Sioux Falls, SD 57105-6331
Nursing home name
AVANTARA NORTON
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avantara NortonCCN 435039
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11097.8 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Special focus status
SFF
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
7Fines totaling $215,483

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
43D0672264Avantara Norton3600 South Norton Avenue, Sioux Falls, SD 57105Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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 Oct 2, 2019 2.6%
Bokf,NA Organization, Tulsa, OK Financial institution 5% Or Greater Security Interest Mar 4, 2024 100%
Operational/Managerial Control Mar 4, 2024
Joseph Glendon Rees Individual Operational/Managerial Control Oct 2, 2019
Adp of the SNF Oct 2, 2019
Menachem Shabat Individual Operational/Managerial Control Oct 2, 2019
Managing Control - Governing BodyManager of the Manager Oct 2, 2019
Adp of the SNF Oct 2, 2019
Roth & Co, LLP Organization, Brooklyn, NY LLC Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Oct 2, 2019
Norton SD Property Holdings, LLC Organization, Skokie, IL LLC 5% Or Greater Security Interest Oct 2, 2019 100%
Adp of the SNF Oct 2, 2019
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Oct 2, 2019 42.5%
Adp of the SNF Oct 2, 2019
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Oct 2, 2019
Adp of the SNF Nov 24, 2025
Oakway Operations LLC Organization, Skokie, IL LLC 5% Or Greater Direct Ownership Interest Oct 2, 2019 15%
Ashley Nickel Individual Operational/Managerial Control Aug 28, 2022
Adp of the SNF Aug 28, 2022
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Oct 2, 2019 42.5%
Adp of the SNF Oct 2, 2019
Individual Indirect Ownership Interest Oct 2, 2019 4.9%
Individual Indirect Ownership Interest Oct 2, 2019 2.6%
Individual Indirect Ownership Interest Oct 2, 2019 4.9%

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 3

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": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1700433703",
    "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": "847-679-9797",
            "fax_number": "847-679-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S NORTON AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056331",
            "telephone_number": "605-338-9891",
            "fax_number": "605-338-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON SD SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "SHABAT",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "COO/PRINCIPAL",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avantara Norton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.