Ih Lisle Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IH LISLE OPCO, LLC

Practice address

2850 Ogden Avenue
Lisle, IL 60532

Phone

(331) 249-6200

NPI assigned

Mar 3, 2020

Last updated

Sep 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad Haber

Title

Manager

Phone

(331) 249-6200

Specialties & licenses 1

Addresses

Other names 1

• THRIVE LISLE Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841825510. Details of each certification follow.

• CCN 146192 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 146192

Legal name

IH LISLE OPCO, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 13, 2020

Last certification

Jan 30, 2025

Beds

68 (28 certified)

Ownership / control type

Corporation

Multi-facility organization

Ignite Medical Resorts

Organization structure

LLCProprietary

Enrollment address

2850 Ogden Ave
Lisle, IL 60532-2394

Nursing home name

THRIVE OF LISLE

Listed as

Thrive of LisleCCN 146192 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 13, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2870.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 18

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mohammed Akbar Yousuf, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lemont, IL
  • NPI 1811172018

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• Ih Fox Valley Opco, LLC

  dba Thrive Fox Valley

  • Skilled Nursing Facility
  • Aurora, IL
  • NPI 1730790817

  Bradley S Haber Revocable Trust Uad October 15 2013, Cloch Family Trust, Lockwood Investments LLC

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kaleem Khan, M.D.

  • Family Medicine Physician
  • Naperville, IL
  • NPI 1619917713

  Nursing home

  Care Compare affiliation
• Ahmed Nazimuddin, M.D.

  • Internal Medicine Physician
  • Burr Ridge, IL
  • NPI 1710140975

  Nursing home

  Care Compare affiliation
• Rahil H Shaikh, MD

  • Hospitalist Physician
  • Bolingbrook, IL
  • NPI 1639467897

  Nursing home

  Care Compare affiliation
• Mohammed Akbar Yousuf, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lemont, IL
  • NPI 1811172018

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1841825510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 OGDEN AVENUE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 OGDEN AVENUE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "331-249-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IH LISLE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "331-249-6200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THRIVE LISLE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "THRIVE LISLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kate Chandler Hoppock, DO
• Betty Hsia, MD
• Sheng Hua, DC
• Wendy Ying Wan Hung, D.C.
• Eileen Hydel
• Zvezdana Ilic Bogojevic, M.D.
• In Clairity, PLLC
• Insight Medical Imaging, LLC
• Integrated Case Management L3C (Inspera Health)
• Integrity Anesthesia Management LLC

• Skilled Nursing Facility in Lisle, IL
• Providers in Lisle, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.

Verify at the official NPI Registry.