Ih Fox Valley Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IH FOX VALLEY OPCO, LLC

Doing business as

Thrive Fox Valley

Practice address

4020 E New York St
Aurora, IL 60504-4416

Phone

(331) 301-5590

NPI assigned

Aug 12, 2020

Last updated

Sep 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley S Haber

Title

Member

Phone

(331) 301-5590

Specialties & licenses 1

Addresses

Other names 1

• Thrive Fox Valley Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730790817. Details of each certification follow.

• CCN 146194 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 146194

Legal name

IH FOX VALLEY OPCO, LLC

Doing business as

THRIVE FOX VALLEY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Dec 17, 2020

Last certification

Jul 26, 2024

Beds

68

Ownership / control type

Corporation

Multi-facility organization

Ignite Medical Resorts

Organization structure

LLCProprietary

Incorporated

Dec 23, 2015 in DE

Enrollment address

4020 E New York St
Aurora, IL 60504-4416

Nursing home name

THRIVE OF FOX VALLEY

Listed as

Thrive of Fox ValleyCCN 146194 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 17, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6865.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 18

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mohammed Akbar Yousuf, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lemont, IL
  • NPI 1811172018

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Ih Lisle Opco, LLC

  • Skilled Nursing Facility
  • Lisle, IL
  • NPI 1841825510

  Bradley S Haber Revocable Trust Uad October 15 2013, Cloch Family Trust, Lockwood Investments LLC

  CMS ownership
• Tco JV, LLC

  • Skilled Nursing Facility
  • McHenry, IL
  • NPI 1932728003

  KCB Real Estate VII LP

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kaleem Khan, M.D.

  • Family Medicine Physician
  • Naperville, IL
  • NPI 1619917713

  Nursing home

  Care Compare affiliation
• Sunita Dervesh Koul

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1003127895

  Nursing home

  Care Compare affiliation
• Riddhi Rupesh Shah, M.D.

  • Hospitalist Physician
  • Dekalb, IL
  • NPI 1538401849

  Nursing home

  Care Compare affiliation
• Mohammed Akbar Yousuf, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lemont, IL
  • NPI 1811172018

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1730790817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 200",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628000",
            "telephone_number": "312-982-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 E NEW YORK ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044416",
            "telephone_number": "331-301-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IH FOX VALLEY OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "331-301-5590"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Fox Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Fox Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omar Ibraheem
• Rameeza Ibrahim
• Ideal Medical Equipment and Supplies
• Ann M Iglesias, APN,CNP
• Ignite Hospitalists, LLC
• Mary Marie Ihnenfeld, LCSW
• Abigail Marie Illingworth
• Illinois Health Resources Inc
• Illinois Math and Science Academy
• Imaging Centers of America Inc

• Skilled Nursing Facility in Aurora, IL
• Providers in Aurora, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.

Verify at the official NPI Registry.