Active NPI
County of McHenry Illinois
- Skilled Nursing Facility
- Woodstock, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0046821
- Legal business name
- COUNTY OF MCHENRY ILLINOIS
- Doing business as
- Valley Hi Nursing Home for McHenry County
- Practice address
- 2406 Hartland Rd
Woodstock, IL 60098-9763 - Phone
- (815) 338-0312
- Fax
- (815) 338-0458
- NPI assigned
- Jul 29, 2005
- 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. Thomas J Annarella, L.N.H.A.
- Title
- Nursing Home Administrator
- Phone
- (815) 338-0312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0046821 | IL | Primary |
Addresses
Primary practice location
2406 Hartland Rd
Woodstock, IL 60098-9763
Mailing address
2406 Hartland Rd
Woodstock, IL 60098-9763
Phone (815) 338-0312
Other names 1
- Valley Hi Nursing Home for McHenry County
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090909000546 | IL | Part A Provider - Skilled Nursing Facility | 7810042124 | Practice locations: Woodstock, IL |
Skilled nursing facility certification: CCN 145652
- Legal name
- COUNTY OF MCHENRY ILLINOIS
- Doing business as
- VALLEY HI NURSING HOME FOR MCHENRY COUNTY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1989
- Last certification
- Mar 20, 2024
- Beds
- 128
- Ownership / control type
- County
- Organization structure
- Government
- Enrollment address
- 2406 Hartland Rd
Woodstock, IL 60098-9763 - Nursing home name
- VALLEY HI NURSING HOME
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- State or Local Public Health Clinic/Center
- Woodstock, IL
- NPI 1871855213
7810042124
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Valley Hi Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Oct 1, 1989
- Medicare certification status
- Active
- Certified beds
- 128
- Penalties (3 years)
- 5
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 |
|---|---|---|---|
| 14D0414932 | Valley Hi Nursing Home for McHenry County | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- McHenry County Mental Health Board
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health Dentistry
- Woodstock, IL
- NPI 1659545762
-
- State or Local Public Health Clinic/Center
- Woodstock, IL
- NPI 1871855213
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1134377328
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crystal Lake, IL
- NPI 1154579068
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crystal Lake, IL
- NPI 1376671461
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McHenry, IL
- NPI 1598912149
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1902053655
Ownership & related parties
All disclosed owners & managing parties 31
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 |
|---|---|---|---|
| Adp of the SNF | Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2022 | ||
| Adp of the SNF | Oct 28, 2007 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Gilbert N Egekeze | Operational/Managerial Control | Dec 5, 2024 | |
| Adp of the SNF | Dec 5, 2024 | ||
| Adp of the SNF | Sep 7, 2010 | ||
| Adp of the SNF | Dec 1, 2022 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Adp of the SNF | Jul 1, 2015 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2022 | ||
| Adp of the SNF | Feb 1, 2023 | ||
| Nick Partridge | Operational/Managerial Control | Mar 24, 2025 | |
| Adp of the SNF | Mar 24, 2025 | ||
| Adp of the SNF | Dec 1, 2016 | ||
| Thomas J Annarella | Operational/Managerial Control | Jan 1, 2014 | |
| Adp of the SNF | Jan 1, 2014 | ||
| Adp of the SNF | May 1, 2016 | ||
| Tara Polte | Operational/Managerial Control | Aug 17, 2015 | |
| Adp of the SNF | Aug 17, 2015 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2020 | ||
| Brittany Tollberg | Operational/Managerial Control | May 30, 2023 | |
| Adp of the SNF | Aug 17, 2023 | ||
| Adp of the SNF | Dec 1, 2012 | ||
| Adp of the SNF | Dec 1, 2012 | ||
| Adp of the SNF | Dec 1, 2022 | ||
| Adp of the SNF | Dec 1, 2022 | ||
| Adp of the SNF | Dec 1, 2022 | ||
| Adp of the SNF | Jan 11, 2021 | ||
| Adp of the SNF | Dec 1, 2022 | ||
| Adp of the SNF | Oct 1, 2000 | ||
| Adp of the SNF | Dec 1, 2018 | ||
| Adp of the SNF | Dec 1, 2020 |
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
- Crystal Lake, IL
- NPI 1548361959
Adp of the SNF, Operational/Managerial Control
Subparts reporting this organization as parent 5
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1134377328
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crystal Lake, IL
- NPI 1154579068
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crystal Lake, IL
- NPI 1376671461
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McHenry, IL
- NPI 1598912149
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1902053655
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1122595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1891795837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 HARTLAND RD",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600989763",
"telephone_number": "815-338-0312",
"fax_number": "815-338-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 HARTLAND RD",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600989763",
"telephone_number": "815-338-0312",
"fax_number": "815-338-0458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF MCHENRY ILLINOIS",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-29",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "ANNARELLA",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "815-338-0312",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "L.N.H.A."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0046821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Hi Nursing Home for McHenry County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodstock, IL
- Evone Kay Coombs, MA, LCPC
- Kathleen Ann Cooper, MS, CCC-SLP
- Cornerstone Care Inc.
- Cornerstone Care, Inc.
- County of McHenry
- Covid Testing Centers of America Inc
- Terri L Crawley, MD
- Creative Alternatives for Psychological Growth
- Creative Alternatives for Psychological Growth LLC
- Crossroads Care Center of Woodstock, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.