Active NPI
Midway Neurological and Rehabilitation Center LLC
- Skilled Nursing Facility
- Bridgeview, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 000047175
- Legal business name
- MIDWAY NEUROLOGICAL AND REHABILITATION CENTER LLC
- Practice address
- 8540 S Harlem Ave
Bridgeview, IL 60455-1778 - Phone
- (708) 598-2605
- Fax
- (708) 598-5671
- NPI assigned
- Feb 24, 2006
- 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. Moishe Gubin
- Title
- Ceo
- Phone
- (219) 898-3056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 000047175 | IL | Primary |
Addresses
Primary practice location
8540 S Harlem Ave
Bridgeview, IL 60455-1778
Mailing address
8540 S Harlem Ave
Bridgeview, IL 60455-1778
Phone (708) 598-2605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050916000289 | IL | Part A Provider - Skilled Nursing Facility | 5799718060 | Practice locations: Bridgeview, IL |
Skilled nursing facility certification: CCN 145778
- Legal name
- MIDWAY NEUROLOGICAL AND REHABILITATION CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1993
- Last certification
- Jul 17, 2024
- Beds
- 404
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Dec 16, 2004 in IL
- Enrollment address
- 8540 S Harlem Ave
Bridgeview, IL 60455-1778 - Nursing home name
- MIDWAY NEUROLOGICAL / REHAB CENTER
- Affiliated entity
- INFINITY HEALTHCARE CONSULTING
All disclosed owners & managing parties 4
Medicare enrollment filesAs 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 |
|---|---|---|---|
| Gubin Enterprises Limited Partnership | 5% Or Greater Direct Ownership Interest | Jan 1, 2014 | 37.39% |
| A&F Realty LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2005 | 25.22% |
| Michael Blisko | 5% Or Greater Direct Ownership Interest | Jan 1, 2005 | 37.39% |
| Michael Brown | W-2 Managing Employee | Oct 16, 2017 |
National Provider Directory
National Provider DirectoryFacilities with the same owner 31
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1679746317
A&F Realty LLC, Gubin Enterprises Limited Partnership
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1972501898
A&F Realty LLC, Gubin Enterprises Limited Partnership
-
- Skilled Nursing Facility
- Cicero, IL
- NPI 1750519914
Gubin Enterprises Limited Partnership
-
- Skilled Nursing Facility
- Cobden, IL
- NPI 1861597700
A&F Realty LLC
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1568635209
A&F Realty LLC, Gubin Enterprises Limited Partnership
-
- Skilled Nursing Facility
- Itasca, IL
- NPI 1245526854
Gubin Enterprises Limited Partnership
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1558642314
Gubin Enterprises Limited Partnership
-
- Skilled Nursing Facility
- Momence, IL
- NPI 1215921622
A&F Realty LLC, Gubin Enterprises Limited Partnership
-
- Skilled Nursing Facility
- Niles, IL
- NPI 1508029919
Gubin Enterprises Limited Partnership
-
- Skilled Nursing Facility
- Oak Lawn, IL
- NPI 1831409879
Gubin Enterprises Limited Partnership
-
- Skilled Nursing Facility
- Streator, IL
- NPI 1174822266
Gubin Enterprises Limited Partnership
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1679867790
A&F Realty LLC, Gubin Enterprises Limited Partnership
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Midway Neurological / Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1993
- Medicare certification status
- Active
- Certified beds
- 404
- Chain
- Infinity Healthcare Consulting
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364860800000",
"number": "1740256155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8540 S HARLEM AVE",
"city": "BRIDGEVIEW",
"state": "IL",
"postal_code": "604551778",
"telephone_number": "708-598-2605",
"fax_number": "708-598-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8540 S HARLEM AVE",
"city": "BRIDGEVIEW",
"state": "IL",
"postal_code": "604551778",
"telephone_number": "708-598-2605",
"fax_number": "708-598-5671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWAY NEUROLOGICAL AND REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-24",
"last_updated": "2013-04-02",
"status": "A",
"authorized_official_last_name": "GUBIN",
"authorized_official_first_name": "MOISHE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "219-898-3056",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "000047175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.