Wentworth Rehabilitation and Health Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0026435 Issued in IL

Legal business name

WENTWORTH REHABILITATION AND HEALTH CARE CENTER, INC.

Practice address

201 W 69TH St
Chicago, IL 60621-3719

Phone

(773) 487-1200

Fax

(773) 487-4782

NPI assigned

Oct 6, 2005

Last updated

May 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Avelino

Title

Accounts Recievable Manager

Phone

(773) 724-6376

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942297775. Details of each certification follow.

• CCN 145429 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145429

Legal name

WENTWORTH REHABILITATION AND HEALTH CARE CENTER, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 3, 1981

Last certification

May 31, 2024

Beds

300

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 10, 1978 in IL

Enrollment address

201 W 69TH St
Chicago, IL 60621-3719

Nursing home name

WENTWORTH REHAB & HCC

Affiliated entity

THE ALDEN NETWORK

Listed as

Wentworth Rehab & HCCCCN 145429 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 3, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

300195.3 residents per day on average

Chain

The Alden Network27 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

7Fines totaling $246,075

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Alden-Wentworth Rehabilitation and Health Care Center Inc2 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.

• Alden-Wentworth Rehabilitation and Health Care Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1508221540
  NPD tax ID

All disclosed owners & managing parties 20

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

Facilities with the same owner 28

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

• Alden Courts of Shorewood, Inc.

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1770039075

  Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.

  CMS ownership
• Alden Courts of Waterford, L.L.C.

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1851849269

  Alden Management Services, Inc., The Alden Group, LTD.

  CMS ownership
• Alden Estates of Barrington, Inc.

  • Skilled Nursing Facility
  • Barrington, IL
  • NPI 1922095470

  Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.

  CMS ownership
• Alden Estates of Evanston, Inc.

  • Skilled Nursing Facility
  • Evanston, IL
  • NPI 1518953728

  Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.

  CMS ownership
• Alden Estates of Naperville, Inc.

  • Skilled Nursing Facility
  • Naperville, IL
  • NPI 1679560031

  Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.

  CMS ownership
• Alden Estates of Shorewood, Inc

  • Skilled Nursing Facility
  • Shorewood, IL
  • NPI 1548530785

  Alden Management Services, Inc., The Alden Group, LTD.

  CMS ownership
• Alden Estates of Skokie Inc.

  • Skilled Nursing Facility
  • Skokie, IL
  • NPI 1811148158

  Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.

  CMS ownership
• Alden Estates-Courts of Huntley, Inc.

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1053812974

  Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.

  CMS ownership
• Alden of Waterford, L.L.C.

  • Skilled Nursing Facility
  • Aurora, IL
  • NPI 1760470553

  Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.

  CMS ownership
• Alden Terrace of McHenry Rehab and Health Care Center, Inc.

  • Skilled Nursing Facility
  • McHenry, IL
  • NPI 1023005519

  Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.

  CMS ownership
• Alden-Alma Nelson Manor, Inc.

  • Skilled Nursing Facility
  • Rockford, IL
  • NPI 1619963816

  Alden Management Services, Inc.

  CMS ownership
• Alden-Des Plaines Rehabilitation and Health Care Center, Inc.

  • Skilled Nursing Facility
  • Des Plaines, IL
  • NPI 1134115348

  Alden Management Services, Inc., Audra Elisco Grantor TR Dated 11/02/2004, Lauren Magnusson Grantor TR Dated 11/02/2004, Randi Schullo Grantor TR Dated 11/02/2004, The Alden Group, LTD.

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Vivek Gupta, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1376632976

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1942297775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466074",
            "telephone_number": "773-286-6622",
            "fax_number": "773-286-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 69TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213719",
            "telephone_number": "773-487-1200",
            "fax_number": "773-487-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTWORTH REHABILITATION AND HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "AVELINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ACCOUNTS RECIEVABLE MANAGER",
        "authorized_official_telephone_number": "773-724-6376"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0026435",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1005",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karissa Joy Wennstrom, OTD, OTR
• Ivy Elizabeth Wenrich, LCSW
• Lauren S Wenrich, RDN
• Holly M Wentland, CNP
• Wentworth Dental Clinic PC
• Jason Adam Wentworth, PT
• Monica Priscilla Wentworth, M.D
• Lynne Wentz
• Kendra Leigh Wenzel
• Richard Wenzel, PHARM. D.

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.

Verify at the official NPI Registry.