NPIMap

Organization Active NPI

Northbrook Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Northbrook, IL
National Provider Identifier
1871965186
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHBROOK SKILLED NURSING FACILITY LLC
Practice address
263 Skokie Blvd
Northbrook, IL 60062-1611
Phone
(847) 564-0505
Fax
(847) 564-3775
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Yair Zuckerman
Title
Ceo
Phone
(847) 679-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

263 Skokie Blvd
Northbrook, IL 60062-1611

Mailing address

7040 N Ridgeway Ave
Lincolnwood, IL 60712-2620
Phone (847) 679-9797

Other names 1

  • THE GROVE OF NORTHBROOK Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151210000272 IL Part A Provider - Skilled Nursing Facility 4880995174 Practice locations: Northbrook, IL

Skilled nursing facility certification: CCN 145809

Legal name
NORTHBROOK SKILLED NURSING FACILITY LLC
Doing business as
THE GROVE OF NORTHBROOK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 1, 1994
Last certification
Jun 7, 2024
Beds
134
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Nov 6, 2015
Organization structure
LLCProprietary
Enrollment address
263 Skokie Blvd
Northbrook, IL 60062-1611
Nursing home name
GROVE OF NORTHBROOK,THE
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grove of Northbrook,theCCN 145809
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
134130.9 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
4Fines totaling $83,860

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Brook Properties LLC Organization, Skokie, IL LLC 5% Or Greater Security Interest Nov 6, 2015 100%
Adp of the SNF Nov 6, 2015
Organization, Lincolnwood, IL LLC Adp of the SNF Nov 6, 2015
Menachem Shabat Individual Operational/Managerial Control May 3, 2017
Managing Control - Governing BodyManager of the Manager May 3, 2017
Adp of the SNF May 3, 2017
Roth & Co, LLP Organization, Brooklyn, NY LLC, Consulting firm Adp of the SNF Jan 1, 2024
Olga Lansky Individual Operational/Managerial Control Nov 6, 2015
Adp of the SNF Nov 6, 2015
Individual Adp of the SNF Nov 6, 2015
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest May 3, 2017 50%
Adp of the SNF Nov 6, 2015
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Nov 6, 2015
Adp of the SNF Nov 19, 2025
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest May 3, 2017 50%
Adp of the SNF Nov 6, 2015
Scott Schayer Individual Operational/Managerial Control Feb 1, 2017
Adp of the SNF Feb 1, 2017
VNB New York LLC Organization, Morristown, NJ Financial institution 5% Or Greater Security Interest Mar 7, 2025 100%
Operational/Managerial Control Mar 7, 2025
Individual Adp of the SNF Nov 6, 2015
Organization, Skokie, IL Adp of the SNF Nov 6, 2015

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 89

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

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1871965186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 N RIDGEWAY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122620",
            "telephone_number": "847-679-9797",
            "fax_number": "847-676-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 SKOKIE BLVD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621611",
            "telephone_number": "847-564-0505",
            "fax_number": "847-564-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBROOK SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GROVE OF NORTHBROOK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.