Active NPI
Alden Courts of Shorewood, Inc.
- Skilled Nursing Facility
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2016
- 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 Avelino
- Title
- Account Receivable Manager
- Phone
- (773) 724-6376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Shorewood
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 23, 2017
- Medicare certification status
- Active
- Certified beds
- 50
- Chain
- The Alden Network
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 |
|---|---|---|---|
| 14D2124766 | Alden Courts of Shorewood, Inc | Certificate of waiver | Jan 24, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Valerie N Christensen | W-2 Managing Employee | Feb 22, 2017 | 100% |
| Christina K Murdoch | W-2 Managing Employee | May 12, 2019 | |
| Arin G Elisco | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Garrett E Magnusson | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Joan P Carl | Corporate Officer | May 10, 2010 | 33% |
| Corporate Director | May 10, 2010 | 50% | |
| Alden Management Services, Inc. | Operational/Managerial Control | Oct 7, 2011 | |
| Randi Schullo Grantor TR Dated 11/02/2004 | 5% Or Greater Indirect Ownership Interest | Feb 28, 2018 | 20% |
| Steven M Kroll | Contracted Managing Employee | Dec 6, 2001 | 2% |
| Joseph Schullo | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Robert J Molitor | Operational/Managerial Control | Jun 16, 2008 | |
| Lauren Magnusson Grantor TR Dated 11/02/2004 | 5% Or Greater Indirect Ownership Interest | Feb 28, 2018 | 20% |
| The Alden Group, LTD. | 5% Or Greater Indirect Ownership Interest | Oct 9, 1996 | 100% |
| Paige a Magnusson | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Nicole Schullo | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Shorewood Investments I LLC | 5% Or Greater Direct Ownership Interest | Jun 14, 2007 | 100% |
| Audra B Elisco | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 20.77% |
| Lauren H Magnusson | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 20.77% |
| Randi Schullo | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 20.77% |
| Corporate Officer | Feb 16, 2010 | ||
| Annette G Akerman | W-2 Managing Employee | Jul 9, 2017 | 100% |
| Charles L Elisco | 5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Floyd a Schlossberg | Corporate Officer | Oct 7, 2011 | 33% |
| Corporate Director | Oct 7, 2011 | 50% | |
| Audra Elisco Grantor TR Dated 11/02/2004 | 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.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1851849269
Alden Management Services, Inc., The Alden Group, LTD.
-
- Skilled Nursing Facility
- Barrington, IL
- NPI 1922095470
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Evanston, IL
- NPI 1518953728
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Naperville, IL
- NPI 1679560031
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Shorewood, IL
- NPI 1548530785
Alden Management Services, Inc., The Alden Group, LTD.
-
- Skilled Nursing Facility
- Skokie, IL
- NPI 1811148158
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1053812974
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Aurora, IL
- NPI 1760470553
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- McHenry, IL
- NPI 1023005519
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Rockford, IL
- NPI 1619963816
Alden Management Services, Inc.
-
- Skilled Nursing Facility
- Des Plaines, IL
- NPI 1134115348
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1033106596
Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.
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
- Hayfaa I. Aldasoqi, APN-CNM
- Shaden Aldasoqi
- Kelly Ann Alday, LCSW
- Jonathan Carl Alde, M.D.
- Amer Aldeen, MD
- Alden Courts of Waterford, L.L.C.
- Alden Estates-Courts of Huntley, Inc.
- Alden Lakeland Rehabilitation and Health Care Center, Inc.
- Alden Lincoln Park Rehab. and Health Care Center, Inc.
- Alden Northmoor Rehabilitation and Health Care Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.