NPIMap

Organization Active NPI

Lincoln Park Skilled Nursing Facility LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1962874263
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LINCOLN PARK SKILLED NURSING FACILITY LLC
Practice address
2732 N Hampden CT
Chicago, IL 60614-1612
Phone
(773) 248-6000
Fax
(773) 248-9703
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Yair Zuckerman
Title
Ceo
Phone
(847) 679-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2732 N Hampden CT
Chicago, IL 60614-1612

Mailing address

7040 N Ridgeway Ave
Lincolnwood, IL 60712-2620
Phone (847) 679-9797

Other names 1

  • THE GROVE AT LINCOLN PARK Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151202003069 IL Part A Provider - Skilled Nursing Facility 0345540969 Practice locations: Chicago, IL

Skilled nursing facility certification: CCN 145875

Legal name
LINCOLN PARK SKILLED NURSING FACILITY LLC
Doing business as
WARREN BARR LINCOLN PARK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1996
Last certification
Nov 1, 2024
Beds
109
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
2732 N Hampden CT
Chicago, IL 60614-1612
Nursing home name
WARREN BARR LINCOLN PARK
Affiliated entity
LEGACY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Warren Barr Lincoln ParkCCN 145875
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10982.9 residents per day on average
Chain
Legacy Healthcare89 facilities in the chain
Penalties (3 years)
1Fines totaling $117,488

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
14D0707133Warren Barr Lincoln Park2732 N Hampden CT, Chicago, IL 60614Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Organization, Skokie, IL Adp of the SNF Nov 6, 2015
Tariq Mubarak Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Organization, Lincolnwood, IL Adp of the SNF Nov 26, 2025
Menachem Shabat Individual Operational/Managerial Control May 3, 2017
Managing Control - Governing BodyManager of the Manager May 3, 2017
Adp of the SNF May 3, 2017
Roth & Co, LLP Organization, Brooklyn, NY Consulting firm Adp of the SNF Jan 1, 2024
Lincoln Park Property Holdings, LLC Organization, Skokie, IL LLC 5% Or Greater Security Interest Nov 6, 2015 100%
Adp of the SNF Nov 6, 2015
Organization, Lincolnwood, IL LLC Adp of the SNF Nov 6, 2015
GPN Family Trust U/a/D 4/28/08 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest May 3, 2017 50%
Adp of the SNF Nov 6, 2015
Legacy Healthcare Financial Services LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Nov 6, 2015
Adp of the SNF Nov 19, 2025
Elchonon Batt Individual Operational/Managerial Control Oct 28, 2024
Adp of the SNF Oct 28, 2024
Individual Adp of the SNF Nov 6, 2015
Doros Generation Trust U/a/D 1/3/12 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest May 3, 2017 50%
Adp of the SNF Nov 6, 2015
VNB New York LLC Organization, Morristown, NJ Financial institution 5% Or Greater Security Interest Mar 7, 2025 100%
Operational/Managerial Control Mar 7, 2025
Individual Adp of the SNF Nov 6, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 89

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

View all 89

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1962874263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 N RIDGEWAY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122620",
            "telephone_number": "847-679-9797",
            "fax_number": "847-676-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 N HAMPDEN CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141612",
            "telephone_number": "773-248-6000",
            "fax_number": "773-248-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GROVE AT LINCOLN PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.