Organization Active NPI

Alden-Long Grove Rehabilitation and Health Care Center, Inc.

  • Skilled Nursing Facility
  • Long Grove, IL
National Provider Identifier
1972590230
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0040683 Issued in IL
Legal business name
ALDEN-LONG GROVE REHABILITATION AND HEALTH CARE CENTER, INC.
Practice address
Box 2308 Old Hicks Road
Long Grove, IL 60047-8373
Phone
(847) 438-8275
Fax
(847) 438-3254
NPI assigned
Oct 3, 2005
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Floyd A Schlossberg
Title
President
Phone
(773) 286-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0040683 IL Primary

Addresses

Primary practice location

Box 2308 Old Hicks Road
Long Grove, IL 60047-8373

Mailing address

4200 W Peterson Ave
Suite 140
Chicago, IL 60646-6074
Phone (773) 286-6622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110103000569 IL Part A Provider - Skilled Nursing Facility 4688862816 Practice locations: Long Grove, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972590230. Details of each certification follow.

Skilled nursing facility certification: CCN 145872

Legal name
ALDEN-LONG GROVE REHABILITATION AND HEALTH CARE CENTER, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 12, 1996
Last certification
Dec 4, 2024
Beds
248
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 9, 1995 in IL
Enrollment address
Box 2308 Old Hicks Road
Long Grove, IL 60047-8373
Nursing home name
ALDEN LONG GROVE REHAB &HC CTR
Affiliated entity
THE ALDEN NETWORK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alden Long Grove Rehab &HC CtrCCN 145872 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 12, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
248169.5 residents per day on average
Chain
The Alden Network27 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $199,483

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Alden Long Grove Rehab HC Ctr2 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 20

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

NameRoleSinceShare
Yvette Saldana Individual W-2 Managing EmployeeAdministrator Oct 22, 2018 100%
Arin G Elisco Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Garrett E Magnusson Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Joan P Carl Individual Corporate Officer May 10, 2010
Corporate DirectorBoard Member May 10, 2010
Alden Management Services, Inc. Organization, Chicago, IL Corporation Operational/Managerial Control Oct 9, 1996 100%
Esther J Davis Individual Operational/Managerial ControlVice President of Operations-Ald Mar 15, 2010
Randi Schullo Grantor TR Dated 11/02/2004 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Feb 28, 2018 20.77%
Joseph Schullo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Robert J Molitor Individual Operational/Managerial ControlChief Operating Officer Jun 16, 2008
Lauren Magnusson Grantor TR Dated 11/02/2004 Organization, Elgin, IL 5% Or Greater Indirect Ownership Interest Feb 28, 2018 20.77%
The Alden Group, LTD. Organization, Chicago, IL Corporation 5% Or Greater Direct Ownership Interest Oct 9, 1996 100%
Paige a Magnusson Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Kirsten Refvik Individual W-2 Managing EmployeeAdministrator Mar 13, 2017 100%
Nicole Schullo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Margo Marasa Individual Operational/Managerial ControlVice President of Operations Sep 12, 2011
Randi Schullo Individual Corporate Officer Feb 16, 2010
Charles L Elisco Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2013 6.26%
Midcap Funding IV Trust Organization, Bethesda, MD Financial institution 5% Or Greater Security Interest Jul 1, 2010 26%
Floyd a Schlossberg Individual Corporate Officer May 10, 2010
Corporate DirectorBoard Member May 10, 2010
Audra Elisco Grantor TR Dated 11/02/2004 Organization, Northbrook, IL 5% Or Greater Indirect Ownership Interest Mar 1, 2018 20.77%

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 28

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

View all 28

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1972590230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466074",
            "telephone_number": "773-286-6622",
            "fax_number": "773-286-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX 2308 OLD HICKS ROAD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478373",
            "telephone_number": "847-438-8275",
            "fax_number": "847-438-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN-LONG GROVE REHABILITATION AND HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSBERG",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-286-6622"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0040683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

Verify at the official NPI Registry.