Active NPI
Seneca Nursing Home, Inc.
Doing business as Lee Manor
- Skilled Nursing Facility
- Des Plaines, IL
National Provider Identifier
1700867033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0024356
- Legal business name
- SENECA NURSING HOME, INC.
- Doing business as
- Lee Manor
- Practice address
- 1301 Lee St
Des Plaines, IL 60018-1514 - Phone
- (847) 635-4000
- Fax
- (847) 635-5016
- NPI assigned
- Nov 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chester Plodzien
- Title
- Owner
- Phone
- (847) 635-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0024356 | IL | Primary |
Addresses
Primary practice location
1301 Lee St
Des Plaines, IL 60018-1514
Mailing address
1301 Lee St
Des Plaines, IL 60018-1514
Phone (847) 635-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50395 | Other | BLUECROSS BLUESHIELD - IL |
Other names 1
- Lee Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000573 | IL | Part A Provider - Skilled Nursing Facility | 4284548702 | Practice locations: Des Plaines, IL |
Skilled nursing facility certification: CCN 145382
- Legal name
- SENECA NURSING HOME, INC.
- Doing business as
- LEE MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 4, 1979
- Last certification
- Apr 18, 2025
- Beds
- 262
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Incorporated
- Apr 7, 1976 in IL
- Enrollment address
- 1301 Lee St
Des Plaines, IL 60018-1514 - Nursing home name
- LEE MANOR
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lee Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 4, 1979
- Medicare certification status
- Active
- Certified beds
- 262
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Lee Manor
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lee Manor
- Oxygen Equipment & Supplies (DME)
- Des Plaines, IL
- NPI 1043666738
Locations
648 N River Rd
Ste 100
Naperville, IL 60563
Phone (331) 472-4500
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Christopher P Vangel | Corporate Officer | Jan 1, 2016 | |
| Elizabeth Meyers | W-2 Managing Employee | Mar 8, 2003 | |
| William McNiff | Operational/Managerial Control | Jun 16, 2005 | |
| Dorothy Vangel QSS Trust | 5% Or Greater Direct Ownership Interest | Oct 19, 2007 | 67.5% |
| Operational/Managerial Control | Oct 19, 2007 | ||
| Allan Gabrys | Corporate Officer | Jul 1, 2016 |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Meadowbrook Manor of Naperville
- Skilled Nursing Facility
- Naperville, IL
- NPI 1588638795
Dorothy Vangel QSS Trust
-
dba Meadowbrook Manor of Bolingbrook
- Skilled Nursing Facility
- Bolingbrook, IL
- NPI 1255305454
Dorothy Vangel QSS Trust
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Park Ridge, IL
- NPI 1023123015
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Elk Grove Village, IL
- NPI 1346434578
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328745600000",
"number": "1700867033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 LEE ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600181514",
"telephone_number": "847-635-4000",
"fax_number": "847-635-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 LEE ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600181514",
"telephone_number": "847-635-4000",
"fax_number": "847-635-5016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENECA NURSING HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-14",
"last_updated": "2012-02-09",
"status": "A",
"authorized_official_last_name": "PLODZIEN",
"authorized_official_first_name": "CHESTER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-635-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0024356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD - IL",
"identifier": "50395",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lee Manor",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.