Organization Active NPI

Lincolnshire Nursing LLC

  • Skilled Nursing Facility
  • Lincolnshire, IL
National Provider Identifier
1750114252
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LINCOLNSHIRE NURSING LLC
Practice address
150 Jamestown LN
Lincolnshire, IL 60069-2119
Phone
(224) 543-7100
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
John Coglianese
Title
Manager
Phone
(224) 543-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

150 Jamestown LN
Lincolnshire, IL 60069-2119

Mailing address

7101 N Cicero Ave Ste 200
Lincolnwood, IL 60712-2112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241210000746 IL Part A Provider - Skilled Nursing Facility 0244766582 Practice locations: Lincolnshire, IL

Skilled nursing facility certification: CCN 146028

Legal name
LINCOLNSHIRE NURSING LLC
Doing business as
SERENITY ESTATES OF LINCOLNSHIRE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 1, 2002
Last certification
Apr 24, 2025
Beds
144
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Serenity Estates
Organization structure
LLCProprietary
Enrollment address
150 Jamestown LN
Lincolnshire, IL 60069-2119
Nursing home name
SERENITY ESTATES OF LINCOLNSHIRE
Affiliated entity
SERENITY ESTATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Serenity Estates of LincolnshireCCN 146028
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
144117.5 residents per day on average
Chain
Serenity Estates5 facilities in the chain
Penalties (3 years)
11Fines totaling $370,046

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2326153Serenity Estates of Lincolnshire150 Jamestown Lane, Lincolnshire, IL 60069Certificate of waiverJun 26, 2027

National Provider Directory

National Provider Directory

Locations

7101 N Cicero Ave
Ste 200
Lincolnwood, IL 60712
Phone (847) 452-4565

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Individual Adp of the SNF Sep 1, 2024
Lincolnshire Properties Limited Partnership Organization, Beverly Shores, IN Adp of the SNF Sep 1, 2024
Jennifer Daugherty Individual 5% Or Greater Direct Ownership Interest Sep 1, 2024 50%
Operational/Managerial Control Sep 1, 2024
Managing Control - Governing BodyManager Sep 1, 2024
Adp of the SNF Sep 1, 2024
Howard Reid Baker Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Sep 1, 2024
Rusty Behmer Individual Operational/Managerial Control Sep 1, 2024
Managing Control - Governing BodyFacility Administrator Sep 1, 2024
Adp of the SNF Mar 11, 2025
GS Management LLC Organization, Lincolnwood, IL Consulting firm Operational/Managerial Control Sep 1, 2024
Adp of the SNF Sep 1, 2024
John Coglianese Individual 5% Or Greater Direct Ownership Interest Sep 1, 2024 50%
Operational/Managerial Control Sep 1, 2024
Managing Control - Governing BodyManager Sep 1, 2024
Adp of the SNF Sep 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.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1750114252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 N CICERO AVE STE 200",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JAMESTOWN LN",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600692119",
            "telephone_number": "224-543-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLNSHIRE NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "COGLIANESE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-543-7100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

Verify at the official NPI Registry.