Active NPI
MST Health Properties LLC
- Skilled Nursing Facility
- South Chicago Heights, IL
National Provider Identifier
1902875974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0043406
- Legal business name
- MST HEALTH PROPERTIES LLC
- Doing business as
- Bria of Chicago Heights
- Practice address
- 120 W 26TH St
South Chicago Heights, IL 60411-4141 - Phone
- (708) 756-5200
- Fax
- (708) 709-3142
- NPI assigned
- Mar 14, 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
- Mr. Avrum Weinfeld
- Title
- Cfo
- Phone
- (847) 933-9200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0043406 | IL | Primary |
Addresses
Primary practice location
120 W 26TH St
South Chicago Heights, IL 60411-4141
Mailing address
5151 Church St
Skokie, IL 60077-1123
Phone (847) 933-9200
Other names 3
- Bria of Chicago Heights
- Woodside Extended Care
- MST Health Properties
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120209000209 | IL | Part A Provider - Skilled Nursing Facility | 2860398997 | Practice locations: South Chicago Heights, IL |
Skilled nursing facility certification: CCN 145898
- Legal name
- MST HEALTH PROPERTIES LLC
- Doing business as
- BRIA OF CHICAGO HEIGHTS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 14, 1996
- Last certification
- May 30, 2025
- Beds
- 112
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 120 W 26TH St
South Chicago Heights, IL 60411-4141 - Nursing home name
- BRIA OF CHICAGO HEIGHTS
- Affiliated entity
- BRIA HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bria of Chicago Heights
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 14, 1996
- Medicare certification status
- Active
- Certified beds
- 112
- Chain
- Bria Health Services
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 4
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 |
|---|---|---|---|
| 14D0862812 | MST Health Properties LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Chimnoya Nwagwu Youlo | W-2 Managing Employee | Jan 1, 2024 | |
| Adp of the SNF | Jan 8, 2025 | ||
| Kim M Boulton | W-2 Managing Employee | Jul 1, 2016 | |
| Adp of the SNF | Jan 8, 2025 | ||
| Michael Rosen | 5% Or Greater Direct Ownership Interest | Nov 1, 1997 | 5% |
| Avrum Weinfeld | 5% Or Greater Direct Ownership Interest | Oct 1, 2011 | 42.5% |
| Adp of the SNF | Jan 8, 2025 | ||
| Dov Segal | 5% Or Greater Direct Ownership Interest | Nov 1, 1997 | 10% |
| Rosemary Olanrewaju | W-2 Managing Employee | Jun 1, 2024 | |
| Adp of the SNF | Jan 8, 2025 | ||
| Daniel T Weiss | 5% Or Greater Direct Ownership Interest | Oct 1, 2011 | 42.5% |
| Adp of the SNF | Jan 8, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Rolla, MO
- NPI 1881910487
Adp of the SNF, W-2 Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734652800000",
"number": "1902875974",
"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": "120 W 26TH ST",
"city": "SOUTH CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604114141",
"telephone_number": "708-756-5200",
"fax_number": "708-709-3142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MST HEALTH PROPERTIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"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": "IL",
"license": "0043406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bria of Chicago Heights",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Woodside Extended Care",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "MST Health Properties",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in South Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.