Organization Active NPI

Beacon Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1871163030
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEACON CARE AND REHABILITATION CENTER LLC
Practice address
4538 N Beacon St
Chicago, IL 60640-5519
Phone
(773) 275-7200
NPI assigned
Jun 30, 2021
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Nisanel Silverberg
Title
Authorized Signer
Phone
(612) 432-3701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4538 N Beacon St
Chicago, IL 60640-5519

Mailing address

4538 N Beacon St
Chicago, IL 60640-5519

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210816001152 IL Part A Provider - Skilled Nursing Facility 4486059375 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871163030. Details of each certification follow.

Skilled nursing facility certification: CCN 145776

Legal name
BEACON CARE AND REHABILITATION CENTER LLC
Doing business as
COMPLETE CARE AT SHERIDAN COMMONS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 22, 1993
Last certification
Mar 13, 2025
Beds
143
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Complete Care
Most recent change of ownership
Jun 29, 2021
Organization structure
LLCProprietary
Enrollment address
4538 N Beacon St
Chicago, IL 60640-5519
Nursing home name
COMPLETE CARE AT SHERIDEN COMMONS
Affiliated entity
COMPLETE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Complete Care at Sheriden CommonsCCN 145776 · 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 - Limited Liability company
Certified
Nov 22, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14382.3 residents per day on average
Chain
Complete Care85 facilities in the chain
Penalties (3 years)
1Fines totaling $17,665

Processed by Care Compare on Aug 1, 2026.

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
Peace Capital Holdings LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 70.2%
Adp of the SNF Jun 29, 2021
PC Chicago Topco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 70.2%
Adp of the SNF Jun 29, 2021
Beacon Property LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Jun 29, 2021
Daniel Sternbuch Individual Operational/Managerial Control Dec 1, 2025
Adp of the SNF Dec 1, 2025
Indirect Ownership Interest Dec 1, 2025 4.9%
Jack Vida Individual Operational/Managerial Control Oct 20, 2025
Michael Jacobson Individual Operational/Managerial Control Nov 6, 2024
Adp of the SNF Nov 6, 2024
Jacob Klugman Individual Adp of the SNF Dec 1, 2025
Indirect Ownership Interest Dec 1, 2025 4.9%
SMS 2021 Trust Organization, Lakewood, NJ Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2025 66.76%
Adp of the SNF Jun 29, 2021
Yitzchok Meir Levovitz Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 20%
Operational/Managerial Control Dec 1, 2025
Managing Control - Governing Body Dec 1, 2025
Adp of the SNF Dec 1, 2025
Des Capital LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2025 4.9%
NJ Chicago Opco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 29, 2021 100%
JRK Investments LLC Organization, Lakewood, NJ Holding company, For-profit Adp of the SNF Dec 1, 2025
Indirect Ownership Interest Dec 1, 2025 4.9%
PC Chicago Propco Holdco LLC Organization, Toms River, NJ LLC, Holding company, For-profit Adp of the SNF Jun 29, 2021
Shalom Stein Individual Corporate Officer Jun 29, 2021
Managing Control - Governing Body Jun 29, 2021
Trustee of the SNF Dec 1, 2025
Adp of the SNF Dec 1, 2025
Indirect Ownership Interest Dec 1, 2025 3.43%
Dominic Gaziano Individual Operational/Managerial Control Jun 29, 2021
Adp of the SNF Jun 29, 2021

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 66

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

View all 66

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1871163030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 N BEACON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 N BEACON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405519",
            "telephone_number": "773-275-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON CARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "SILVERBERG",
        "authorized_official_first_name": "NISANEL",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "612-432-3701"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.