Organization Active NPI

Bria of Elmwood Park LP

  • Skilled Nursing Facility
  • Elmwood Park, IL
National Provider Identifier
1972206332
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BRIA OF ELMWOOD PARK LP
Practice address
7733 W Grand Ave
Elmwood Park, IL 60707-1820
Phone
(708) 452-9200
NPI assigned
Mar 24, 2023
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Mr. Avrum Weinfeld
Title
Cfo
Phone
(847) 933-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7733 W Grand Ave
Elmwood Park, IL 60707-1820

Mailing address

5151 Church St
Skokie, IL 60077-1123
Phone (847) 933-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230810003241 IL Part A Provider - Skilled Nursing Facility 6901268721 Practice locations: Elmwood Park, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972206332. Details of each certification follow.

Skilled nursing facility certification: CCN 145419

Legal name
BRIA OF ELMWOOD PARK LP
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1982
Last certification
Feb 3, 2025
Beds
245
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Bria Health Services
Organization structure
PartnershipProprietary
Incorporated
May 1, 2023 in IL
Enrollment address
7733 W Grand Ave
Elmwood Park, IL 60707-1820
Nursing home name
BRIA OF ELMWOOD PARK
Affiliated entity
BRIA HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bria of Elmwood ParkCCN 145419 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
245169.9 residents per day on average
Chain
Bria Health Services10 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
12Fines totaling $616,979

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Bria of Elmwood Park2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Marvin Mermelstein Family Trust Organization, Lincolnwood, IL For-profit Limited Partnership Interest May 1, 2023 50%
Natan Weiss Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2024 50%
Amy Weiss Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2024 50%
Chimnoya Nwagwu Youlo Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Avrum Weinfeld Individual 5% Or Greater Direct Ownership InterestCfo May 1, 2023 50%
Operational/Managerial Control Jan 1, 2024
Daniel T Weiss Individual 5% Or Greater Direct Ownership InterestCoo May 1, 2023 50%
Jeremy Boshes Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Forge GP LLC Organization, Skokie, IL LLC, For-profit, Owned by another organization or individual General Partnership Interest Jan 1, 2024 1%
Limited Partnership Interest Jan 1, 2024 49%
Seven Species LLC Organization, Skokie, IL LLC, Owned by another organization or individual Indirect Ownership Interest Jan 1, 2024

Owners & managing parties with NPI records 1

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

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": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1972206332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 CHURCH ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771123",
            "telephone_number": "847-933-9200",
            "fax_number": "847-933-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 W GRAND AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071820",
            "telephone_number": "708-452-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIA OF ELMWOOD PARK LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "WEINFELD",
        "authorized_official_first_name": "AVRUM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-933-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

Verify at the official NPI Registry.