Organization Active NPI

Alden Courts of Shorewood, Inc.

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1770039075
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALDEN COURTS OF SHOREWOOD, INC.
Practice address
4200 W. Peterson Ave.
Suite 140
Chicago, IL 60646-6074
Phone
(773) 286-6622
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
John Avelino
Title
Account Receivable Manager
Phone
(773) 724-6376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4200 W. Peterson Ave.
Suite 140
Chicago, IL 60646-6074

Mailing address

700 W. Black Rd.
Shorewood, IL 60404-8400
Phone (815) 230-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170301002543 IL Part A Provider - Skilled Nursing Facility 6800170242 Practice locations: Shorewood, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770039075. Details of each certification follow.

Skilled nursing facility certification: CCN 146183

Legal name
ALDEN COURTS OF SHOREWOOD, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 23, 2017
Last certification
Sep 12, 2024
Beds
50
Ownership / control type
Corporation
Multi-facility organization
Shorewood Investment LLC
Organization structure
CorporationProprietary
Incorporated
Oct 7, 2021 in IL
Enrollment address
700 W Black Rd
Shorewood, IL 60404-8400
Nursing home name
ALDEN COURTS OF SHOREWOOD
Affiliated entity
THE ALDEN NETWORK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alden Courts of ShorewoodCCN 146183 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 23, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5044.0 residents per day on average
Chain
The Alden Network27 facilities in the chain

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
14D2124766Alden Courts of Shorewood, Inc700 W Black Rd, Shorewood, IL 60404Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Valerie N Christensen Individual W-2 Managing EmployeeDirector of Nursing Feb 22, 2017 100%
Christina K Murdoch Individual W-2 Managing EmployeeAdministrator May 12, 2019
Arin G Elisco Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jul 1, 2013 6.26%
Garrett E Magnusson Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jul 1, 2013 6.26%
Joan P Carl Individual Corporate OfficerVice President and Secretary May 10, 2010 33%
Corporate DirectorVice President and Secretary May 10, 2010 50%
Alden Management Services, Inc. Organization, Chicago, IL Corporation Operational/Managerial Control Oct 7, 2011
Randi Schullo Grantor TR Dated 11/02/2004 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Feb 28, 2018 20%
Steven M Kroll Individual Contracted Managing Employee Dec 6, 2001 2%
Joseph Schullo Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jul 1, 2013 6.26%
Robert J Molitor Individual Operational/Managerial ControlChief Exec Officer - Alden Manag Jun 16, 2008
Lauren Magnusson Grantor TR Dated 11/02/2004 Organization, Elgin, IL 5% Or Greater Indirect Ownership Interest Feb 28, 2018 20%
The Alden Group, LTD. Organization, Chicago, IL Corporation 5% Or Greater Indirect Ownership Interest Oct 9, 1996 100%
Paige a Magnusson Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jul 1, 2013 6.26%
Nicole Schullo Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jul 1, 2013 6.26%
Shorewood Investments I LLC Organization, Chicago, IL LLC 5% Or Greater Direct Ownership Interest Jun 14, 2007 100%
Audra B Elisco Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jul 1, 2013 20.77%
Lauren H Magnusson Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jul 1, 2013 20.77%
Randi Schullo Individual 5% Or Greater Indirect Ownership InterestVice President Jul 1, 2013 20.77%
Corporate OfficerVice President Feb 16, 2010
Annette G Akerman Individual W-2 Managing EmployeeVP of Operations Jul 9, 2017 100%
Charles L Elisco Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jul 1, 2013 6.26%
Floyd a Schlossberg Individual Corporate OfficerPresident and Treasurer Oct 7, 2011 33%
Corporate DirectorPresident and Treasurer Oct 7, 2011 50%
Audra Elisco Grantor TR Dated 11/02/2004 Organization, Northbrook, IL 5% Or Greater Indirect Ownership Interest Mar 1, 2018 20%

Facilities with the same owner 28

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

View all 28

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1770039075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W. BLACK RD.",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048400",
            "telephone_number": "815-230-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN COURTS OF SHOREWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "AVELINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ACCOUNT RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "773-724-6376"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.