NPIMap

Organization Active NPI

Oak Lawn Respiratory and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Oak Lawn, IL
National Provider Identifier
1831409879
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OAK LAWN RESPIRATORY AND REHABILITATION CENTER LLC
Practice address
9525 Mayfield Ave
Oak Lawn, IL 60453-2817
Phone
(708) 636-7000
NPI assigned
Oct 8, 2010
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Moishe Gubin
Title
Owner
Phone
(708) 636-7000

Specialties & licenses 1

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

Addresses

Primary practice location

9525 Mayfield Ave
Oak Lawn, IL 60453-2817

Mailing address

9525 Mayfield Ave
Oak Lawn, IL 60453-2817
Phone (708) 636-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110309000217 IL Part A Provider - Skilled Nursing Facility 1456533629 Practice locations: Oak Lawn, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831409879. Details of each certification follow.

Skilled nursing facility certification: CCN 145942

Legal name
OAK LAWN RESPIRATORY AND REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 16, 1997
Last certification
Dec 19, 2024
Beds
143
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Aug 1, 2010
Organization structure
LLCProprietary
Enrollment address
9525 Mayfield Ave
Oak Lawn, IL 60453-2817
Nursing home name
LANDMARK OF OAK LAWN REHABILITATION AND NURSING CENTER LLC
Affiliated entity
INFINITY HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Landmark of Oak Lawn Rehabilitation and Nursing CeCCN 145942 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 16, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14386.3 residents per day on average
Chain
Infinity Healthcare Consulting69 facilities in the chain
Penalties (3 years)
6Fines totaling $308,189

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
14D0858963Oak Lawn Respiratory & Rehabilitation Ctr9525 S Mayfield Avenue, Oak Lawn, IL 60453Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Oak Lawn Respiratory and Rehabilitation Center LLC2 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 3

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

NameRoleSinceShare
Gubin Enterprises Limited Partnership Organization, South Bend, IN 5% Or Greater Direct Ownership Interest Jan 1, 2016 50%
Lauren Wiliams Individual W-2 Managing EmployeeAdministrator Jan 17, 2022
Michael Blisko Individual 5% Or Greater Direct Ownership InterestAuthorized Official Aug 1, 2010 50%

Facilities with the same owner 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1831409879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 MAYFIELD AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532817",
            "telephone_number": "708-636-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 MAYFIELD AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532817",
            "telephone_number": "708-636-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LAWN RESPIRATORY AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "GUBIN",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-636-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.