Active NPI
Beacon Care and Rehabilitation Center LLC
- Skilled Nursing Facility
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Commons
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 22, 1993
- Medicare certification status
- Active
- Certified beds
- 143
- Chain
- Complete Care
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Peace Capital Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2025 | 70.2% |
| Adp of the SNF | Jun 29, 2021 | ||
| PC Chicago Topco LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2025 | 70.2% |
| Adp of the SNF | Jun 29, 2021 | ||
| Beacon Property LLC | Adp of the SNF | Jun 29, 2021 | |
| Daniel Sternbuch | Operational/Managerial Control | Dec 1, 2025 | |
| Adp of the SNF | Dec 1, 2025 | ||
| Indirect Ownership Interest | Dec 1, 2025 | 4.9% | |
| Jack Vida | Operational/Managerial Control | Oct 20, 2025 | |
| Michael Jacobson | Operational/Managerial Control | Nov 6, 2024 | |
| Adp of the SNF | Nov 6, 2024 | ||
| Jacob Klugman | Adp of the SNF | Dec 1, 2025 | |
| Indirect Ownership Interest | Dec 1, 2025 | 4.9% | |
| SMS 2021 Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2025 | 66.76% |
| Adp of the SNF | Jun 29, 2021 | ||
| Yitzchok Meir Levovitz | 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 | Indirect Ownership Interest | Dec 1, 2025 | 4.9% |
| NJ Chicago Opco Holdco LLC | 5% Or Greater Direct Ownership Interest | Jun 29, 2021 | 100% |
| JRK Investments LLC | Adp of the SNF | Dec 1, 2025 | |
| Indirect Ownership Interest | Dec 1, 2025 | 4.9% | |
| PC Chicago Propco Holdco LLC | Adp of the SNF | Jun 29, 2021 | |
| Shalom Stein | 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 | 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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1275699209
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 66
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1487224648
NJ Chicago Opco Holdco LLC, PC Chicago Topco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1114597275
NJ Chicago Opco Holdco LLC, PC Chicago Topco LLC, Peace Capital Holdings LLC, SMS 2021 Trust
-
dba Complete Care at Care Age
- Skilled Nursing Facility
- Brookfield, WI
- NPI 1437953692
SMS 2021 Trust
-
- Skilled Nursing Facility
- Waupun, WI
- NPI 1740010834
SMS 2021 Trust
-
- Skilled Nursing Facility
- Annapolis, MD
- NPI 1780399667
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Newton, NJ
- NPI 1568056018
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Holmdel, NJ
- NPI 1346964715
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Reading, PA
- NPI 1497336119
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Hockessin, DE
- NPI 1407437130
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Phillipsburg, NJ
- NPI 1902487820
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Brick, NJ
- NPI 1053035329
Peace Capital Holdings LLC, SMS 2021 Trust
-
- Skilled Nursing Facility
- Burlington, NJ
- NPI 1790366615
Peace Capital Holdings LLC, SMS 2021 Trust
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
- Be Supported LLC
- Be Well Partners in Health LLC
- Joy Beach-Bachmann, NP
- Jordan Nicole Beach
- John Beacom, MD
- Beacon Care Center LLC (Beacon Care Center)
- Beacon Therapeutic
- Beacon Therapeutic School, Inc. (Beacon Therapeutic Diagnostic Treatment Center)
- Beacon Therapeutic Schools, Inc. (Beacon Therapeutic Diagnostic and Treatment Center)
- Beacon Therapeutic Schools, Inc. (Beacon Therapeutic Diagnostic Treatment Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.