NPIMap

Organization Active NPI

Axiom Gardens of Flora LLC

Doing business as Axiom Gardens of Flora

  • Skilled Nursing Facility
  • Flora, IL
National Provider Identifier
1780411264
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AXIOM GARDENS OF FLORA LLC
Doing business as
Axiom Gardens of Flora
Practice address
701 Shadwell Ave
Flora, IL 62839-2310
Phone
(618) 662-8361
NPI assigned
Sep 18, 2024
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Jennifer Spector
Title
VP of Revenue Cycle Management
Phone
(847) 262-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

701 Shadwell Ave
Flora, IL 62839-2310

Mailing address

4655 W Chase Ave
Lincolnwood, IL 60712-1605
Phone (847) 262-3800

Other names 1

  • Axiom Gardens of Flora Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250404003203 IL Part A Provider - Skilled Nursing Facility 1850815325 Practice locations: Flora, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780411264. Details of each certification follow.

Skilled nursing facility certification: CCN 145624

Legal name
AXIOM GARDENS OF FLORA LLC
Doing business as
AXIOM GARDENS OF FLORA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1989
Last certification
Mar 11, 2025
Beds
107 (97 certified)
Ownership / control type
Corporation
Multi-facility organization
Axiom Healthcare
Organization structure
LLCProprietary
Enrollment address
701 Shadwell Ave
Flora, IL 62839-2310
Nursing home name
AXIOM GARDENS OF FLORA
Affiliated entity
AXIOM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Axiom Gardens of FloraCCN 145624 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9762.0 residents per day on average
Chain
Axiom Healthcare8 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $159,748

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 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.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Jennifer Spector Individual Corporate OfficerChief Revenue Officer Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Petersen SNF Holdings LLC Organization, Skokie, IL LLC Adp of the SNF Oct 27, 2025
Latosha Vaughn Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyDirector of Nursing Dec 1, 2024
Adp of the SNF Dec 1, 2024
Axiom Care, LLC Organization, Lincolnwood, IL LLC, Management services company, Consulting firm, Chain home office Operational/Managerial Control Dec 1, 2024
Adp of the SNF Oct 27, 2025
J'NE Greene Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Chaim Rajchenbach Individual Managing Control - Governing Body Dec 1, 2024
Adp of the SNF Dec 1, 2024
Jonathan Dauber Individual 5% Or Greater Direct Ownership InterestCeo Dec 1, 2024 50%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Asad Zaman Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Jessica Rachelle Webb Individual Managing Control - Governing BodyRegional Director of Operations Dec 1, 2024
Adp of the SNF Dec 1, 2024
Steven Turofsky Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Yosef Meystel Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 25%
Adp of the SNF Dec 8, 2025
Mordechai Kaplan Individual Managing Control - Governing Body Dec 1, 2024
Adp of the SNF Dec 1, 2024
David a Berkowitz Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 25%
Adp of the SNF Dec 8, 2025
Naftali Wilhelm Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Curis Services LLC Organization, Lincolnwood, IL LLC, Consulting firm Adp of the SNF Dec 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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1780411264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 W CHASE AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121605",
            "telephone_number": "847-262-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SHADWELL AVE",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628392310",
            "telephone_number": "618-662-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM GARDENS OF FLORA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "847-262-3800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Axiom Gardens of Flora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flora, IL

Sources for this page

Verify at the official NPI Registry.