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Organization Active NPI

PHW Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Palos Heights, IL
National Provider Identifier
1740994441
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PHW SKILLED NURSING FACILITY LLC
Practice address
11860 Southwest Hwy
Palos Heights, IL 60463-1036
Phone
(708) 361-4555
Fax
(708) 361-3777
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Menachem Shabat
Title
Principal
Phone
(847) 745-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

11860 Southwest Hwy
Palos Heights, IL 60463-1036

Mailing address

3450 Oakton St
Skokie, IL 60076-2951
Phone (847) 745-7000

Other names 1

  • Harmony Palos Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230328002912 IL Part A Provider - Skilled Nursing Facility 6901270289 Practice locations: Palos Heights, IL

Skilled nursing facility certification: CCN 145893

Legal name
PHW SKILLED NURSING FACILITY, LLC
Doing business as
HARMONY PALOS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 12, 1996
Last certification
Nov 21, 2024
Beds
130
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Feb 1, 2023
Organization structure
LLCProprietary
Enrollment address
11860 Southwest Highway
Palos Heights, IL 60463-1036
Nursing home name
HARMONY PALOS
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harmony PalosCCN 145893
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 12, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13098.8 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
2Fines totaling $25,874

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Menachem Shabat Individual Corporate OfficerPresident Feb 1, 2023
Katherine Graben Individual W-2 Managing EmployeeAdministrator Feb 1, 2023
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Feb 1, 2023 59.5%
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Feb 1, 2023
Oakway Operations LLC Organization, Skokie, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2023 15%
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Feb 1, 2023 25.5%

Facilities with the same owner 89

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

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1740994441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762951",
            "telephone_number": "847-745-7000",
            "fax_number": "847-745-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 SOUTHWEST HWY",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631036",
            "telephone_number": "708-361-4555",
            "fax_number": "708-361-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHW SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "SHABAT",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-745-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Palos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.