Active NPI
Sharon Health Care Elms, Inc.
- Skilled Nursing Facility
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1734162
- Legal business name
- SHARON HEALTH CARE ELMS, INC.
- Practice address
- 3611 N Rochelle
Peoria, IL 61604-1038 - Phone
- (309) 688-4412
- Fax
- (309) 688-4480
- NPI assigned
- Jun 28, 2006
- 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
- Elisa Jean Shlofrock-Zusman
- Title
- VP Director of Finance
- Phone
- (847) 441-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1734162 | IL | Primary |
Addresses
Primary practice location
3611 N Rochelle
Peoria, IL 61604-1038
Mailing address
465 Central Ave
Suite 100
Northfield, IL 60093-3045
Phone (847) 441-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050617000219 | IL | Part A Provider - Skilled Nursing Facility | 7911941224 | Practice locations: Peoria, IL |
Skilled nursing facility certification: CCN 146098
- Legal name
- SHARON HEALTH CARE ELMS, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 2006
- Last certification
- Oct 8, 2024
- Beds
- 98 (96 certified)
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 3611 N Rochelle LN
Peoria, IL 61604-1038 - Nursing home name
- SHARON HEALTH CARE ELMS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sharon Health Care Elms
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 1, 2006
- Medicare certification status
- Active
- Certified beds
- 96
- Penalties (3 years)
- 6
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0680608 | Sharon Health Care Elms Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gary a Weintraub | 5% Or Greater Direct Ownership Interest | Aug 18, 1987 | 12.67% |
| Managing Control - Governing Body | Aug 18, 1987 | ||
| Adp of the SNF | Aug 18, 1987 | ||
| John S Shlofrock | 5% Or Greater Direct Ownership Interest | Aug 18, 1987 | 29.2% |
| Corporate Officer | Aug 11, 1997 | ||
| Corporate Director | Aug 11, 1997 | ||
| Operational/Managerial Control | Aug 11, 1997 | ||
| Managing Control - Governing Body | Aug 18, 1987 | ||
| Adp of the SNF | Aug 18, 1987 | ||
| Direct Ownership Interest | Aug 18, 1987 | 19.52% | |
| Elisa J Shlofrock | 5% Or Greater Direct Ownership Interest | Aug 18, 1987 | 25.11% |
| Corporate Officer | Aug 15, 2008 | ||
| Operational/Managerial Control | Aug 13, 1990 | ||
| Managing Control - Governing Body | Aug 11, 1997 | ||
| Adp of the SNF | Aug 18, 1987 | ||
| Richard D Duros | 5% Or Greater Direct Ownership Interest | Jan 1, 2002 | 10.06% |
| Corporate Officer | May 1, 2008 | ||
| Corporate Director | Jan 1, 2002 | ||
| Operational/Managerial Control | May 1, 2008 | ||
| Managing Control - Governing Body | Aug 18, 1987 | ||
| Adp of the SNF | Jun 1, 1994 | ||
| Redwood Management, Inc | Adp of the SNF | Mar 1, 1992 | |
| Peoria Forest, L.L.C | Adp of the SNF | Aug 15, 1987 | |
| Stanton Aron | 5% Or Greater Direct Ownership Interest | Aug 18, 1987 | 19.46% |
| Adp of the SNF | Aug 18, 1987 | ||
| Ziad a Musaitif | Operational/Managerial Control | Jun 1, 2015 | |
| Adp of the SNF | Jun 1, 2015 | ||
| Kelly J Meixsell | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Peoria, IL
- NPI 1316909328
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469491200000",
"number": "1881622264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 CENTRAL AVE",
"address_2": "SUITE 100",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600933045",
"telephone_number": "847-441-8200",
"fax_number": "847-441-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 N ROCHELLE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616041038",
"telephone_number": "309-688-4412",
"fax_number": "309-688-4480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON HEALTH CARE ELMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2016-07-26",
"status": "A",
"authorized_official_last_name": "SHLOFROCK-ZUSMAN",
"authorized_official_first_name": "ELISA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "VP DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "847-441-8200"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "1734162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.