Organization Active NPI

Alden-Princeton Rehabilitation and Health Care Center, Inc.

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1760479679
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0036244 Issued in IL
Legal business name
ALDEN-PRINCETON REHABILITATION AND HEALTH CARE CENTER, INC.
Practice address
255 W 69TH St
Chicago, IL 60621-3767
Phone
(773) 224-5900
Fax
(773) 224-7157
NPI assigned
Oct 5, 2005
Last updated
Nov 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Floyd A Schlossberg
Title
President
Phone
(773) 286-6622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0036244 IL Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

255 W 69TH St
Chicago, IL 60621-3767

Mailing address

4200 W Peterson Ave
Suite 140
Chicago, IL 60646-6074
Phone (773) 286-6622

Other identifiers 1

IdentifierTypeStateIssuer
1008OtherILBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081212000168 IL Part A Provider - Skilled Nursing Facility 4880755594 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760479679. Details of each certification follow.

Skilled nursing facility certification: CCN 145688

Legal name
ALDEN-PRINCETON REHABILITATION AND HEALTH CARE CENTER, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 7, 1990
Last certification
Feb 26, 2025
Beds
225
Ownership / control type
Corporation
Multi-facility organization
Alden
Organization structure
CorporationProprietary
Incorporated
May 10, 1990 in IL
Enrollment address
255 W 69TH St
Chicago, IL 60621-3767
Nursing home name
PRINCETON REHAB & HCC
Affiliated entity
THE ALDEN NETWORK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Princeton Rehab & HCCCCN 145688 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 7, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
225191.1 residents per day on average
Chain
The Alden Network27 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $32,136

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Alden Princeton Rehabilitation and Health Care Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

255 W 69th St
Chicago, IL 60621
Phone (773) 224-5900

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Carolyn Perryman-Johnson Individual W-2 Managing EmployeeAdministrator Jun 15, 2015 100%
Arin G Elisco Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Garrett E Magnusson Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Joan P Carl Individual Corporate Officer Aug 24, 1990
Corporate DirectorBoard Member Aug 24, 1990
Alden Management Services, Inc. Organization, Chicago, IL Corporation Operational/Managerial Control May 10, 1990
Esther J Davis Individual W-2 Managing EmployeeDirector of Operations Mar 15, 2012 100%
Randi Schullo Grantor TR Dated 11/02/2004 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Feb 28, 2018 20.77%
Joseph Schullo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Robert J Molitor Individual Operational/Managerial ControlChief Executive Officer Jun 16, 2008
Lauren Magnusson Grantor TR Dated 11/02/2004 Organization, Elgin, IL 5% Or Greater Indirect Ownership Interest Feb 28, 2018 20.77%
The Alden Group, LTD. Organization, Chicago, IL Corporation 5% Or Greater Direct Ownership Interest Jul 1, 2008 100%
Paige a Magnusson Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Nicole Schullo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Randi Schullo Individual Corporate Officer Feb 16, 2010
Charles L Elisco Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Midcap Funding IV Trust Organization, Bethesda, MD Financial institution 5% Or Greater Security Interest Jul 10, 2010 39%
Floyd a Schlossberg Individual Corporate Officer Aug 24, 1990
Corporate DirectorBoard Member Aug 24, 1990
Audra Elisco Grantor TR Dated 11/02/2004 Organization, Northbrook, IL 5% Or Greater Indirect Ownership Interest Mar 1, 2018 20.77%

Facilities with the same owner 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1760479679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466074",
            "telephone_number": "773-286-6622",
            "fax_number": "773-286-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 69TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213767",
            "telephone_number": "773-224-5900",
            "fax_number": "773-224-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN-PRINCETON REHABILITATION AND HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSBERG",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-286-6622"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0036244",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.