NPIMap

Organization Active NPI

3401 Hennepin Opco LLC

Doing business as Renwick Nursing and Rehab

  • Skilled Nursing Facility
  • Joliet, IL
National Provider Identifier
1841065695
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
3401 HENNEPIN OPCO LLC
Doing business as
Renwick Nursing and Rehab
Practice address
3401 Hennepin Dr
Joliet, IL 60431-1080
Phone
(815) 436-9500
NPI assigned
Nov 21, 2023
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Mr. Levi Israel
Title
Ceo
Phone
(847) 905-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3401 Hennepin Dr
Joliet, IL 60431-1080

Mailing address

2201 Main St
Evanston, IL 60202-1519
Phone (847) 905-3000

Other practice location 1

2201 Main St
Evanston, IL 60202-1519
Phone (847) 905-3000

Other names 1

  • Renwick Nursing and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240322002595 IL Part A Provider - Skilled Nursing Facility 3375980519 Practice locations: Joliet, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841065695. Details of each certification follow.

Skilled nursing facility certification: CCN 145694

Legal name
3401 HENNEPIN OPCO LLC
Doing business as
RENWICK NURSING AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 2, 1991
Last certification
Oct 24, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Extended Care
Most recent change of ownership
Dec 1, 2023
Organization structure
LLCProprietary
Enrollment address
3401 Hennepin Dr
Joliet, IL 60431-1080
Nursing home name
RENWICK NURSING AND REHAB
Affiliated entity
EXTENDED CARE CLINICAL

Care Compare: Nursing home

Medicare Care Compare
Listed as
Renwick Nursing and RehabCCN 145694 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 2, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120100.6 residents per day on average
Chain
Extended Care Clinical9 facilities in the chain
Penalties (3 years)
11Fines totaling $190,155

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
14D2176800Renwick Nursing and Rehab3401 Hennepin Dr, Joliet, IL 60431Certificate of waiverDec 25, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Extended Care Clinical LLC Organization, Evanston, IL LLC Operational/Managerial Control Dec 1, 2023
Adp of the SNF Apr 4, 2025
Roth & Co, LLP Organization, Brooklyn, NY Operational/Managerial Control Jan 8, 2025
Adp of the SNF Apr 4, 2025
Extended Care Consulting LLC Organization, Evanston, IL LLC Operational/Managerial Control Dec 1, 2023
Adp of the SNF Mar 12, 2025
Carolyn M. Progress Individual Operational/Managerial Control Dec 19, 2023
Adp of the SNF Dec 19, 2023
Zlatko Haveric Individual Adp of the SNF Dec 1, 2023
Nathan and Shirley Rothner Family Trust Organization, Evanston, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2023 70%
Steven Miretzky Individual Operational/Managerial Control Dec 1, 2023
Levi Israel Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2023 30%
Operational/Managerial Control Dec 1, 2023
3401 Hennepin Member LLC Organization, Evanston, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2023 99.99%
Trustee of the SNF Dec 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 15

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

View all 15

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": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1841065695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021519",
            "telephone_number": "847-905-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 HENNEPIN DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604311080",
            "telephone_number": "815-436-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Main St",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602021519",
            "country_code": "US",
            "telephone_number": "847-905-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "3401 HENNEPIN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-905-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renwick Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renwick Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.