NPIMap

Organization Active NPI

Buffalo Grove Skilled Nursing Facility LLC

Doing business as Warren Barr Buffalo Grove

  • Skilled Nursing Facility
  • Buffalo Grove, IL
National Provider Identifier
1811685449
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BUFFALO GROVE SKILLED NURSING FACILITY LLC
Doing business as
Warren Barr Buffalo Grove
Practice address
150 Weiland Rd
Buffalo Grove, IL 60089-7047
Phone
(847) 465-0200
Fax
(847) 465-0400
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Chaim Rajchenbach
Title
Ceo
Phone
(847) 679-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

150 Weiland Rd
Buffalo Grove, IL 60089-7047

Mailing address

3450 Oakton St
Skokie, IL 60076-2951
Phone (847) 679-9797

Other names 1

  • Warren Barr Buffalo Grove Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230726002059 IL Part A Provider - Skilled Nursing Facility 0749641553 Practice locations: Buffalo Grove, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811685449. Details of each certification follow.

Skilled nursing facility certification: CCN 145819

Legal name
BUFFALO GROVE SKILLED NURSING FACILITY LLC
Doing business as
WARREN BARR BUFFALO GROVE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 2, 1995
Last certification
Jan 29, 2025
Beds
200
Ownership / control type
Partnership
Most recent change of ownership
Jun 1, 2023
Organization structure
LLCProprietary
Enrollment address
150 Weiland Rd
Buffalo Grove, IL 60089-7047
Nursing home name
WARREN BARR BUFFALO GROVE
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Warren Barr Buffalo GroveCCN 145819 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jan 2, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200167.2 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
1Fines totaling $9,311

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
14D0898607Warren Barr Buffalo Grove150 Weiland Rd, Buffalo Grove, IL 60089Certificate of waiverMar 6, 2027

National Provider Directory

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
Melissa Dominowski Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Individual Indirect Ownership Interest Jun 1, 2023 4.9%
Individual Indirect Ownership Interest Jun 1, 2023 4.9%
Menachem Shabat Individual Operational/Managerial Control Jun 1, 2023
Managing Control - Governing BodyManager of the Manager Jun 1, 2023
Adp of the SNF Jun 1, 2023
Roth & Co, LLP Organization, Brooklyn, NY LLC Adp of the SNF Jan 1, 2024
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Jun 1, 2023 59.5%
Adp of the SNF Jun 1, 2023
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Jun 1, 2023
Adp of the SNF Dec 2, 2025
Oakway Operations LLC Organization, Skokie, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2023 15%
Individual Indirect Ownership Interest Jun 1, 2023 2.6%
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Jun 1, 2023 25.5%
Adp of the SNF Jun 1, 2023
Individual Indirect Ownership Interest Jun 1, 2023 2.6%
Buffalo Grove Property Holdings, LLC Organization, Skokie, IL LLC 5% Or Greater Security Interest Jun 1, 2023 100%
Adp of the SNF Jun 1, 2023
Steven S Kim Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Cibc Bank USA Organization, Chicago, IL Financial institution 5% Or Greater Security Interest Jul 8, 2025 100%
Operational/Managerial Control Jul 8, 2025
Individual Adp of the SNF Jun 1, 2023

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 175

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

View all 175

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1811685449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762951",
            "telephone_number": "847-679-9797",
            "fax_number": "847-679-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WEILAND RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600897047",
            "telephone_number": "847-465-0200",
            "fax_number": "847-465-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO GROVE SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren Barr Buffalo Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.