Active NPI
Greenup Rehab and Nursing LLC
- Skilled Nursing Facility
- Greenup, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GREENUP REHAB AND NURSING LLC
- Practice address
- 300 N Marietta St
Greenup, IL 62428-1103 - Phone
- (217) 923-3186
- Fax
- (217) 923-5226
- NPI assigned
- Dec 16, 2025
- 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
- Chaim Millman, DO
- Title
- Ceo
- Phone
- (845) 414-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
300 N Marietta St
Greenup, IL 62428-1103
Mailing address
300 N Marietta St
Greenup, IL 62428-1103
Phone (217) 923-3186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260305001389 | IL | Part A Provider - Skilled Nursing Facility | 5294217550 | Practice locations: Greenup, IL |
Skilled nursing facility certification: CCN 146113
- Legal name
- GREENUP REHAB AND NURSING LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 25, 2007
- Last certification
- Sep 25, 2024
- Beds
- 54
- Ownership / control type
- Individual
- Multi-facility organization
- Petersen Healthcare
- Most recent change of ownership
- Jan 1, 2026
- Organization structure
- LLC
- Enrollment address
- 300 N Marietta St
Greenup, IL 62428-1103 - Nursing home name
- GREENUP REHAB AND NURSING
- Affiliated entity
- STERN CONSULTANTS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Greenup Rehab and Nursing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jun 25, 2007
- Medicare certification status
- Active
- Certified beds
- 54
- Chain
- Stern Consultants
- Penalties (3 years)
- 1
- Ownership change
- Changed ownership in the last 12 months
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 |
|---|---|---|---|
| 14D0646940 | Greenup Rehab & Nursing LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 34
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 |
|---|---|---|---|
| Tlco Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 25% |
| Operational/Managerial Control | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| BSF Family Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 11.25% |
| Adp of the SNF | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Direct Ownership Interest | Jan 1, 2026 | 2% | |
| Boruch Sheps | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 11.25% |
| Operational/Managerial Control | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Avraham Erblich | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 10% |
| Operational/Managerial Control | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Direct Ownership Interest | Jan 1, 2026 | 2% | |
| Chaim Millman | Operational/Managerial Control | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Indirect Ownership Interest | Jan 1, 2026 | 0.25% | |
| Etn Family Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 25% |
| Operational/Managerial Control | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Adp of the SNF | Feb 3, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Benjamin Friedman | Corporate Officer | Jan 1, 2026 | |
| Operational/Managerial Control | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Indirect Ownership Interest | Jan 1, 2026 | 0.11% | |
| BSF 2025 Family Trust | 5% Or Greater Indirect Ownership Interest | Jan 1, 2026 | 5.57% |
| Adp of the SNF | Jan 1, 2026 | ||
| James McGill | Operational/Managerial Control | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Adp of the SNF | Feb 3, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Direct Ownership Interest | Jan 1, 2026 | 3% | |
| Indirect Ownership Interest | Jan 1, 2026 | 1% | |
| Nimble Navigator Partners LLC | Direct Ownership Interest | Jan 1, 2026 | 3% |
| Bezalel Stern | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 7.5% |
| Adp of the SNF | Jan 1, 2026 | ||
| T Newhouse Family Trust | 5% Or Greater Indirect Ownership Interest | Jan 1, 2026 | 12.38% |
| Adp of the SNF | Jan 1, 2026 | ||
| TLM Family Trust | 5% Or Greater Indirect Ownership Interest | Jan 1, 2026 | 12.38% |
| Adp of the SNF | Jan 1, 2026 | ||
| Asad Zaman | Operational/Managerial Control | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Rachel Green | Operational/Managerial Control | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Eric Newhouse | Adp of the SNF | Jan 1, 2026 | |
| Indirect Ownership Interest | Jan 1, 2026 | 0.25% | |
| Com Family Trust | 5% Or Greater Indirect Ownership Interest | Jan 1, 2026 | 12.38% |
| Adp of the SNF | Jan 1, 2026 | ||
| BF16 Family Trust | 5% Or Greater Indirect Ownership Interest | Jan 1, 2026 | 5.57% |
| Adp of the SNF | Jan 1, 2026 | ||
| Andrea Plew | Operational/Managerial Control | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Stern Therapy Consultants LLC | Operational/Managerial Control | Jan 1, 2026 | |
| Adp of the SNF | Feb 5, 2026 | ||
| Greenup SNF Propco LLC | Adp of the SNF | Jan 1, 2026 | |
| Indirect Ownership Interest | Jan 1, 2026 | 2% | |
| E Newhouse Family Trust | 5% Or Greater Indirect Ownership Interest | Jan 1, 2026 | 12.38% |
| Adp of the SNF | Jan 1, 2026 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Tinley Park, IL
- NPI 1780636944
Adp of the SNF, Operational/Managerial Control
-
- Physical Therapist
- Monsey, NY
- NPI 1073783544
5% Or Greater Direct Ownership Interest, Adp of the SNF
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Carmi, IL
- NPI 1174997316
E Newhouse Family Trust, Etn Family Holdings LLC, T Newhouse Family Trust
-
- Skilled Nursing Facility
- Casey, IL
- NPI 1386471886
Com Family Trust, E Newhouse Family Trust, Etn Family Holdings LLC, T Newhouse Family Trust, Tlco Holdings LLC
-
- Skilled Nursing Facility
- Charleston, IL
- NPI 1336003003
BF16 Family Trust, BSF 2025 Family Trust, BSF Family Holdings LLC, Com Family Trust, E Newhouse Family Trust, Etn Family Holdings LLC, T Newhouse Family Trust, Tlco Holdings LLC, TLM Family Trust
-
- Skilled Nursing Facility
- Macomb, IL
- NPI 1538996038
Com Family Trust, E Newhouse Family Trust, Etn Family Holdings LLC, T Newhouse Family Trust, Tlco Holdings LLC
-
- Skilled Nursing Facility
- Ridgway, IL
- NPI 1497268783
E Newhouse Family Trust, Etn Family Holdings LLC, T Newhouse Family Trust
-
- Skilled Nursing Facility
- Henry, IL
- NPI 1336729672
E Newhouse Family Trust, Stern Therapy Consultants LLC, T Newhouse Family Trust
-
- Skilled Nursing Facility
- Lacon, IL
- NPI 1447889886
E Newhouse Family Trust, Stern Therapy Consultants LLC, T Newhouse Family Trust
-
- Skilled Nursing Facility
- Macomb, IL
- NPI 1871173112
E Newhouse Family Trust, Stern Therapy Consultants LLC, T Newhouse Family Trust
-
- Skilled Nursing Facility
- Marshall, IL
- NPI 1801448816
Stern Therapy Consultants LLC
-
- Skilled Nursing Facility
- Mascoutah, IL
- NPI 1891594651
BF16 Family Trust, BSF 2025 Family Trust, BSF Family Holdings LLC, Com Family Trust, E Newhouse Family Trust, Etn Family Holdings LLC, T Newhouse Family Trust, Tlco Holdings LLC
-
- Skilled Nursing Facility
- Aledo, IL
- NPI 1093370488
E Newhouse Family Trust, Etn Family Holdings LLC, T Newhouse Family Trust
-
- Skilled Nursing Facility
- Monmouth, IL
- NPI 1194524975
BF16 Family Trust, BSF 2025 Family Trust, BSF Family Holdings LLC, Com Family Trust, E Newhouse Family Trust, Etn Family Holdings LLC, T Newhouse Family Trust, Tlco Holdings LLC
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1765843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765843200000",
"number": "1952265639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N MARIETTA ST",
"city": "GREENUP",
"state": "IL",
"postal_code": "624281103",
"telephone_number": "217-923-3186",
"fax_number": "217-923-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N MARIETTA ST",
"city": "GREENUP",
"state": "IL",
"postal_code": "624281103",
"telephone_number": "217-923-3186",
"fax_number": "217-923-5226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENUP REHAB AND NURSING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A",
"authorized_official_last_name": "MILLMAN",
"authorized_official_first_name": "CHAIM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "845-414-3300",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenup, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.