NPIMap

Organization Active NPI

Aliya of Palos Park LLC

  • Skilled Nursing Facility
  • Palos Park, IL
National Provider Identifier
1740964691
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALIYA OF PALOS PARK LLC
Practice address
12220 Will Cook Rd
Palos Park, IL 60464-7332
Phone
(630) 343-7140
NPI assigned
Jun 12, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Efriam Weinfeld
Title
Coo
Phone
(773) 557-0432

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 12

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aliya of Palos ParkCCN 146053
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
129122.5 residents per day on average
Chain
Aliya Healthcare14 facilities in the chain
Penalties (3 years)
6Fines totaling $327,435

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231127000211 IL Part a Provider - Skilled Nursing Facility 2961850375 Practice locations: Palos Park, IL

Skilled nursing facility certification: CCN 146053

Medicare enrollment files
Legal name
ALIYA OF PALOS PARK LLC
Doing business as
ALIYA OF PALOS PARK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 1, 2003
Last certification
Apr 25, 2025
Beds
129
Ownership / control type
Corporation
Multi-facility organization
Aliya Healthcare
Organization structure
LLCProprietary
Enrollment address
12220 South Will Cook Rd
Palos Park, IL 60464-7332
Nursing home name
ALIYA OF PALOS PARK
Affiliated entity
ALIYA HEALTHCARE

All disclosed owners & managing parties 10

Medicare enrollment files

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

NameRoleSinceShare
Aliya Operations Holdings LLC Organization, Skokie, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 86.5%
Jordan Reifer Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 8.6%
Joseph a Kowalczyk Individual W-2 Managing EmployeeMedical Director Aug 1, 2023
Jamie L Krieps Individual W-2 Managing EmployeeFacility Administrator Aug 1, 2023
Aliya Five Member a LLC Organization, Skokie, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 12%
Avrum Weinfeld Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 13%
Dvorah S Weinfeld Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 45%
Aliya Five Holdings LLC Organization, Skokie, IL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2023 99.99%
Moshe Erlich Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2023 13%
Efriam Weinfeld Individual Corporate OfficerManager Aug 1, 2023

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

12220 Will Cook Rd
Palos Park, IL 60464-7332

Mailing address

3515 Howard St Ste 1001
Skokie, IL 60076-4001

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2023.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1740964691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 HOWARD ST STE 1001",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 WILL COOK RD",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604647332",
            "telephone_number": "630-343-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIYA OF PALOS PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "WEINFELD",
        "authorized_official_first_name": "EFRIAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "773-557-0432"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

Verify at the official NPI Registry.