Organization Active NPI

Allure of Moline, LLC

  • Skilled Nursing Facility
  • East Moline, IL
National Provider Identifier
1962012583
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALLURE OF MOLINE, LLC
Practice address
430 30TH Ave
East Moline, IL 61244-3152
Phone
(309) 755-3466
Fax
(309) 755-6670
NPI assigned
Aug 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Samantha Meyer
Title
VP of Revenue Cycle Management
Phone
(773) 338-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

430 30TH Ave
East Moline, IL 61244-3152

Mailing address

2711 W Howard St
Chicago, IL 60645-1303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200911000020 IL Part A Provider - Skilled Nursing Facility 0244658094 Practice locations: East Moline, IL

Skilled nursing facility certification: CCN 146041

Legal name
ALLURE OF MOLINE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 13, 2002
Last certification
May 21, 2025
Beds
120
Ownership / control type
Partnership
Multi-facility organization
Allure Healthcare Services
Organization structure
LLCProprietary
Enrollment address
430 30TH Ave
East Moline, IL 61244-3152
Nursing home name
ALLURE OF MOLINE
Affiliated entity
ALLURE HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Allure Of MolineCCN 146041
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Dec 13, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12096.4 residents per day on average
Chain
Allure Healthcare Services15 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $14,901

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
14D0989749Allure Moline430 30TH Ave, East Moline, IL 61244Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
David Wengrow Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 10%
Shira Nudell Individual Corporate OfficerAssistant Vice President Dec 1, 2023
Amie Behrens Individual W-2 Managing EmployeeAdministrator Nov 16, 2020
Samantha Meyer Individual Operational/Managerial ControlVice President Dec 1, 2023
Serenity Rock Island Holdco LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2020 100%
Michael Nudell Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 33.33%
Corporate OfficerPresident Sep 1, 2020
Operational/Managerial ControlManager of an Entity Manager Sep 1, 2020
Allure Realty Holdco LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2020 90%
Meyer Bentzion Oseroff Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 30%
Corporate OfficerManager (Highest Ranking Officia Sep 1, 2020
MN1 Management Corp Organization, Chicago, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2020 33.33%
Allure Healthcare Services LLC Organization, Chicago, IL LLC, Consulting firm, For-profit Other Sep 1, 2020
Jeremy Goldberg Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 33.33%
Corporate OfficerManager(Highest Ranking Official Sep 1, 2020
430 South 30TH Ave LLC Organization, Lincolnwood, IL LLC, For-profit 5% Or Greater Security Interest Sep 1, 2020 100%

Facilities with the same owner 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1962012583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 W HOWARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 30TH AVE",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612443152",
            "telephone_number": "309-755-3466",
            "fax_number": "309-755-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURE OF MOLINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "773-338-4400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moline, IL

Sources for this page

Verify at the official NPI Registry.