NPIMap

Organization Active NPI

Southpoint Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1912134347
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0050450 Issued in IL
Legal business name
SOUTHPOINT NURSING AND REHABILITATION CENTER LLC
Practice address
1010 W 95TH St
Chicago, IL 60643-1522
Phone
(773) 298-1177
Fax
(773) 233-1739
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Michael Feldman
Title
Controller
Phone
(773) 298-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0050450 IL Primary

Addresses

Primary practice location

1010 W 95TH St
Chicago, IL 60643-1522

Mailing address

1010 W 95TH St
Chicago, IL 60643-1522
Phone (773) 298-1177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090922000591 IL Part A Provider - Skilled Nursing Facility 0143376863 Practice locations: Chicago, IL

Skilled nursing facility certification: CCN 145914

Legal name
SOUTHPOINT NURSING AND REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 29, 1996
Last certification
Jul 17, 2024
Beds
228
Ownership / control type
Corporation
Multi-facility organization
Shorewood Investment LLC
Organization structure
LLCProprietary
Incorporated
Feb 27, 2009 in IL
Enrollment address
1010W 95TH St
Chicago, IL 60643-1522
Nursing home name
LANDMARK AT 95TH REHABILITATION AND NURSING CENTER LLC
Affiliated entity
INFINITY HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Landmark at 95th Rehabilitation and Nursing CenterCCN 145914
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 29, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
228175.5 residents per day on average
Chain
Infinity Healthcare Consulting69 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
9Fines totaling $595,647

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0955823Southpoint Nursing & Rehabilitation Center1010 W 95TH Street, Chicago, IL 60643Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Southpoint Nursing and Rehabilitation Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Gubin Enterprises Limited Partnership Organization, South Bend, IN 5% Or Greater Direct Ownership Interest Nov 1, 2013 29.97%
A&F Realty LLC Organization, South Bend, IN LLC 5% Or Greater Direct Ownership Interest Apr 1, 2009 10%
Michael Blisko Individual 5% Or Greater Direct Ownership InterestManager Apr 1, 2009 29.97%
Wissati Irrevocable Trust Organization, Evanston, IL 5% Or Greater Direct Ownership Interest Nov 1, 2013 30%
Thomeka Brown Individual W-2 Managing EmployeeAdministrator Sep 9, 2019

Facilities with the same owner 45

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

View all 45

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": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1912134347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431522",
            "telephone_number": "773-298-1177",
            "fax_number": "773-233-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431522",
            "telephone_number": "773-298-1177",
            "fax_number": "773-233-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINT NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "773-298-1177"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0050450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.