Bria of Elmwood Park LP
Organization Active NPI Skilled Nursing Facility · Elmwood Park, IL
NPI 1972206332 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1972206332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Avrum Weinfeld
- Title
- Cfo
- Phone
- (847) 933-9200
Owners & managing parties with NPI records 1
Corporate family (same tax ID) 1
Affiliated clinicians 2
Medicare Care Compare: Nursing home
- Listed as
- Bria of Elmwood Park
- 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
- Active
- Certified beds
- 245 · 169.9 residents per day on average
- Chain
- Bria Health Services
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 12 · fines totaling $616,979
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
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
- Partnership · Proprietary
- 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
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Marvin Mermelstein Family Trust |
Limited Partnership Interest | May 1, 2023 | 50% |
| Natan Weiss |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 50% |
| Amy Weiss |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 50% |
| Chimnoya Nwagwu Youlo |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Avrum Weinfeld |
5% Or Greater Direct Ownership Interest |
May 1, 2023 | 50% |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Daniel T Weiss |
5% Or Greater Direct Ownership Interest |
May 1, 2023 | 50% |
| Jeremy Boshes |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Forge GP LLC |
General Partnership Interest | Jan 1, 2024 | 1% |
| Limited Partnership Interest | Jan 1, 2024 | 49% | |
| Seven Species LLC |
Indirect Ownership Interest | Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230810003241 | IL | Part a Provider - Skilled Nursing Facility | 6901268721 | Practice locations: Elmwood Park, IL |
National Provider Directory
- Tax ID family
- Bria of Elmwood Park
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
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
Other providers in Elmwood Park, IL
- Patryk Boduch
- Anna Urszula Borkiewicz
- Yatin M Brahmbhatt
- Catherine Frances Brazda
- Bria of Elmwood Park LLC
- Bright Voices Speech and Feeding Therapy PLLC
- Maritza Calderon
- Isidro Cardona
- Thomas M Caron
- Rahile Annie Caushaj
All providers in Elmwood Park, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.