Active NPI
Axiom Healthcare of West Frankfort LLC
Doing business as Axiom Healthcare Of West Frankfort
- Skilled Nursing Facility
- West Frankfort, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- AXIOM HEALTHCARE OF WEST FRANKFORT LLC
- Doing business as
- Axiom Healthcare Of West Frankfort
- Practice address
- 601 N Columbia St
West Frankfort, IL 62896-1859 - Phone
- (618) 932-2109
- NPI assigned
- Sep 18, 2024
- Last updated
- Nov 4, 2025
- 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
- Jennifer Spector
- Title
- VP of Revenue Cycle Management
- Phone
- (847) 262-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
601 N Columbia St
West Frankfort, IL 62896-1859
Mailing address
4655 W Chase Ave
Lincolnwood, IL 60712-1605
Phone (847) 262-3800
Other names 1
- Axiom Healthcare Of West Frankfort
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250429001165 | IL | Part A Provider - Skilled Nursing Facility | 3870019235 | Practice locations: West Frankfort, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1710714217. Details of each certification follow.
Skilled nursing facility certification: CCN 145664
- Legal name
- AXIOM HEALTHCARE OF WEST FRANKFORT LLC
- Doing business as
- AXIOM HEALTHCARE OF WEST FRANKFORT
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1990
- Last certification
- Mar 14, 2025
- Beds
- 96
- Ownership / control type
- Corporation
- Multi-facility organization
- Axiom Healthcare
- Most recent change of ownership
- Aug 1, 2020
- Organization structure
- LLC
- Enrollment address
- 601 N Columbia St
West Frankfort, IL 62896-1859 - Nursing home name
- AXIOM HEALTHCARE OF WEST FRANKFORT
- Affiliated entity
- AXIOM HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Axiom Healthcare of West Frankfort
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 1990
- Medicare certification status
- Active
- Certified beds
- 96
- Chain
- Axiom Healthcare
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 4
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Axiom Healthcare Of West Frankfort
- Durable Medical Equipment & Medical Supplies
- West Frankfort, IL
- NPI 1346077849
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Spector | Corporate Officer | Dec 1, 2024 | 100% |
| Operational/Managerial Control | Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Yosef Meystel | Trustee of the SNF | Dec 1, 2024 | |
| Petersen SNF Holdings LLC | Adp of the SNF | Feb 19, 2025 | |
| Axiom Care, LLC | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Mar 19, 2025 | ||
| Tzena Colp | Operational/Managerial Control | Dec 1, 2024 | |
| Managing Control - Governing Body | Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Teresa Fisher | Operational/Managerial Control | Dec 1, 2024 | |
| Managing Control - Governing Body | Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Jonathan Dauber | Operational/Managerial Control | Dec 1, 2024 | |
| Managing Control - Governing Body | Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Direct Ownership Interest | Dec 1, 2024 | 50% | |
| Shannon B Rider | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Jessica Rachelle Webb | Corporate Officer | Dec 1, 2024 | 100% |
| Adp of the SNF | Dec 1, 2024 | ||
| Steven Turofsky | Operational/Managerial Control | Dec 1, 2024 | |
| David Berkowitz | Trustee of the SNF | Dec 1, 2024 | |
| Yosef Meystel Delta Trust | Direct Ownership Interest | Dec 1, 2024 | 25% |
| David a Berkowitz Delta Trust | Direct Ownership Interest | Dec 1, 2024 | 25% |
| Naftali Wilhelm | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Curis Services LLC | Adp of the SNF | Dec 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Herrin, IL
- NPI 1508846429
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Axiom Gardens of Flora
- Skilled Nursing Facility
- Flora, IL
- NPI 1780411264
Axiom Care, LLC
-
dba Axiom Gardens OF Mount Vernon
- Skilled Nursing Facility
- Mount Vernon, IL
- NPI 1669209151
Axiom Care, LLC
-
dba Axiom Healthcare Of Flora
- Skilled Nursing Facility
- Flora, IL
- NPI 1366279853
Axiom Care, LLC
-
dba Axiom Healthcare Of Harrisburg
- Skilled Nursing Facility
- Harrisburg, IL
- NPI 1417784919
Axiom Care, LLC
-
dba Axiom Healthcare Of Mount Vernon
- Skilled Nursing Facility
- Mount Vernon, IL
- NPI 1225865728
Axiom Care, LLC
-
dba Axiom Healthcare of Rosiclare
- Skilled Nursing Facility
- Rosiclare, IL
- NPI 1376370874
Axiom Care, LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1710714217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 W CHASE AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121605",
"telephone_number": "847-262-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N COLUMBIA ST",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628961859",
"telephone_number": "618-932-2109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AXIOM HEALTHCARE OF WEST FRANKFORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-18",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "SPECTOR",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "847-262-3800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Axiom Healthcare Of West Frankfort",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.