Active NPI
Bria of Mascoutah LP
- Skilled Nursing Facility
- Mascoutah, IL
National Provider Identifier
1891454872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRIA OF MASCOUTAH LP
- Practice address
- 901 N 10TH St
Mascoutah, IL 62258-1017 - Phone
- (618) 566-2183
- Fax
- (847) 933-9765
- NPI assigned
- Dec 17, 2021
- 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
- Mr. Avrum Weinfeld
- Title
- Cfo
- Phone
- (847) 933-9200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
901 N 10TH St
Mascoutah, IL 62258-1017
Mailing address
5151 Church St
Skokie, IL 60077-1123
Phone (847) 933-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220217002602 | IL | Part A Provider - Skilled Nursing Facility | 6901290808 | Practice locations: Mascoutah, IL |
Skilled nursing facility certification: CCN 145785
- Legal name
- BRIA OF MASCOUTAH LP
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 25, 1994
- Last certification
- Aug 12, 2024
- Beds
- 55
- Ownership / control type
- Partnership
- Organization structure
- Partnership
- Incorporated
- Dec 1, 2021 in IL
- Enrollment address
- 901 N 10TH St
Mascoutah, IL 62258-1017
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Nexus at Mascoutah
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Feb 25, 1994
- Medicare certification status
- Active
- Certified beds
- 55
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 5
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Natan Weiss | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 50% |
| Wheat Chaff LP | Limited Partnership Interest | Dec 27, 2023 | 1% |
| Amy Weiss | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 50% |
| Amy Suydam | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Avrum Weinfeld | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 33.33% |
| Limited Partnership Interest | Jan 1, 2024 | 1% | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Forge Investments LP | Limited Partnership Interest | Dec 27, 2023 | 97% |
| Daniel T Weiss | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 33.33% |
| Limited Partnership Interest | Jan 1, 2024 | 1% | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Forge GP LLC | Indirect Ownership Interest | Jan 1, 2024 | |
| Seven Species LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 33.33% |
| Navdeep Dhaliwal | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 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.
-
- Internal Medicine Physician
- Mount Vernon, WA
- NPI 1477968337
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Shiloh, IL
- NPI 1508642471
Seven Species LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1891454872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5151 CHURCH ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771123",
"telephone_number": "847-933-9200",
"fax_number": "847-933-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N 10TH ST",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622581017",
"telephone_number": "618-566-2183",
"fax_number": "847-933-9765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIA OF MASCOUTAH LP",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-17",
"last_updated": "2024-10-16",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "WEINFELD",
"authorized_official_first_name": "AVRUM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "847-933-9200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mascoutah, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.