Active NPI
Allure of Moline, LLC
- Skilled Nursing Facility
- East Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Moline
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Dec 13, 2002
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Allure Healthcare Services
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 14D0989749 | Allure Moline | Certificate of waiver | Aug 5, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| David Wengrow | 5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 10% |
| Shira Nudell | Corporate Officer | Dec 1, 2023 | |
| Amie Behrens | W-2 Managing Employee | Nov 16, 2020 | |
| Samantha Meyer | Operational/Managerial Control | Dec 1, 2023 | |
| Serenity Rock Island Holdco LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2020 | 100% |
| Michael Nudell | 5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 33.33% |
| Corporate Officer | Sep 1, 2020 | ||
| Operational/Managerial Control | Sep 1, 2020 | ||
| Allure Realty Holdco LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 90% |
| Meyer Bentzion Oseroff | 5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 30% |
| Corporate Officer | Sep 1, 2020 | ||
| MN1 Management Corp | 5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 33.33% |
| Allure Healthcare Services LLC | Other | Sep 1, 2020 | |
| Jeremy Goldberg | 5% Or Greater Indirect Ownership Interest | Sep 1, 2020 | 33.33% |
| Corporate Officer | Sep 1, 2020 | ||
| 430 South 30TH Ave LLC | 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.
-
- Skilled Nursing Facility
- Galesburg, IL
- NPI 1285244814
Allure Realty Holdco LLC, MN1 Management Corp, Serenity Rock Island Holdco LLC
-
- Skilled Nursing Facility
- Galesburg, IL
- NPI 1417669755
MN1 Management Corp
-
- Skilled Nursing Facility
- Galesburg, IL
- NPI 1134739758
Allure Realty Holdco LLC, MN1 Management Corp, Serenity Rock Island Holdco LLC
-
- Skilled Nursing Facility
- Mount Carroll, IL
- NPI 1013571074
MN1 Management Corp
-
- Skilled Nursing Facility
- Mount Morris, IL
- NPI 1962128538
MN1 Management Corp
-
- Skilled Nursing Facility
- Prophetstown, IL
- NPI 1689238644
MN1 Management Corp
-
- Skilled Nursing Facility
- Moline, IL
- NPI 1164134490
MN1 Management Corp
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.