Organization Active NPI

Greenup Rehab and Nursing LLC

  • Skilled Nursing Facility
  • Greenup, IL
National Provider Identifier
1952265639
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Dec 16, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 NursingCCN 146113
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 - Individual
Certified
Jun 25, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5433.3 residents per day on average
Chain
Stern Consultants22 facilities in the chain
Penalties (3 years)
1Fines totaling $0
Ownership change
Changed ownership in the last 12 months

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
14D0646940Greenup Rehab & Nursing LLC300 N Marietta St, Greenup, IL 62428Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Tlco Holdings LLC Organization, Pomona, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2026 25%
Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Individual Adp of the SNF Jan 1, 2026
BSF Family Holdings LLC Organization, Pomona, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2026 11.25%
Adp of the SNF Jan 1, 2026
Individual Adp of the SNF Jan 1, 2026
Individual Adp of the SNF Jan 1, 2026
Direct Ownership Interest Jan 1, 2026 2%
Boruch Sheps Individual 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 Individual 5% Or Greater Direct Ownership Interest Jan 1, 2026 10%
Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Individual Direct Ownership Interest Jan 1, 2026 2%
Chaim Millman Individual 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 Organization, Suffern, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2026 25%
Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Organization, Cedarhurst, NY Corporation Adp of the SNF Feb 3, 2026
Individual Adp of the SNF Jan 1, 2026
Individual Adp of the SNF Jan 1, 2026
Benjamin Friedman Individual Corporate OfficerCfo 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 Organization, Pomona, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2026 5.57%
Adp of the SNF Jan 1, 2026
James McGill Individual Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Organization, Dunlap, IL Consulting firm Adp of the SNF Feb 3, 2026
Individual Adp of the SNF Jan 1, 2026
Direct Ownership Interest Jan 1, 2026 3%
Individual Indirect Ownership Interest Jan 1, 2026 1%
Nimble Navigator Partners LLC Organization, Clifton, NJ LLC, Owned by another organization or individual Direct Ownership Interest Jan 1, 2026 3%
Bezalel Stern Individual 5% Or Greater Direct Ownership Interest Jan 1, 2026 7.5%
Adp of the SNF Jan 1, 2026
T Newhouse Family Trust Organization, Suffern, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2026 12.38%
Adp of the SNF Jan 1, 2026
TLM Family Trust Organization, Pomona, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2026 12.38%
Adp of the SNF Jan 1, 2026
Asad Zaman Individual Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Rachel Green Individual Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Individual Adp of the SNF Jan 1, 2026
Eric Newhouse Individual Adp of the SNF Jan 1, 2026
Indirect Ownership Interest Jan 1, 2026 0.25%
Com Family Trust Organization, Pomona, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2026 12.38%
Adp of the SNF Jan 1, 2026
BF16 Family Trust Organization, Pomona, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2026 5.57%
Adp of the SNF Jan 1, 2026
Andrea Plew Individual Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Stern Therapy Consultants LLC Organization, Pomona, NY LLC Operational/Managerial Control Jan 1, 2026
Adp of the SNF Feb 5, 2026
Greenup SNF Propco LLC Organization, Pomona, NY LLC Adp of the SNF Jan 1, 2026
Individual Indirect Ownership Interest Jan 1, 2026 2%
E Newhouse Family Trust Organization, Suffern, NY 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.

Facilities with the same owner 22

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

View all 22

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

Verify at the official NPI Registry.