Active NPI
Lincolnshire Nursing LLC
- Skilled Nursing Facility
- Lincolnshire, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Lincolnshire
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 1, 2002
- Medicare certification status
- Active
- Certified beds
- 144
- Chain
- Serenity Estates
- Penalties (3 years)
- 11
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2326153 | Serenity Estates of Lincolnshire | Certificate of waiver | Jun 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Sep 1, 2024 | ||
| Lincolnshire Properties Limited Partnership | Adp of the SNF | Sep 1, 2024 | |
| Jennifer Daugherty | 5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 50% |
| Operational/Managerial Control | Sep 1, 2024 | ||
| Managing Control - Governing Body | Sep 1, 2024 | ||
| Adp of the SNF | Sep 1, 2024 | ||
| Howard Reid Baker | Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Sep 1, 2024 | ||
| Rusty Behmer | Operational/Managerial Control | Sep 1, 2024 | |
| Managing Control - Governing Body | Sep 1, 2024 | ||
| Adp of the SNF | Mar 11, 2025 | ||
| GS Management LLC | Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Sep 1, 2024 | ||
| John Coglianese | 5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 50% |
| Operational/Managerial Control | Sep 1, 2024 | ||
| Managing Control - Governing Body | 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.
-
- Internal Medicine Physician
- Vernon Hills, IL
- NPI 1558326439
Adp of the SNF, Operational/Managerial Control
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
- Anne Marie Leger, MD
- Irina V Lelik, LCSW
- Natalie Lieberman, O.D.
- Lifetime Hearing Centers North West Chicago, LLC
- Lincolnshire Living & Rehab Center LLC
- Lincolnshire Praire-View School District 103
- Lincolnshire Riverwoods Fire Protection District
- Lincolnshire Senior Care LLC
- Lincolnshire Senior Care LLC
- Barbara Lirtzman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.