SOUTH HOLLAND MANOR HRC LLC
NPI 1922575752
Skilled Nursing Facility in South Holland, IL

Active since October 30, 2018CLIA 14D0674703 · Waiver
1/5
Overall Rating
2145 E 170TH ST, SOUTH HOLLAND, IL 60473(708) 895-3255 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Dec 3, 2018, Oct 30, 2018 (3 updates tracked since 2018).

About South Holland Manor Hrc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH HOLLAND MANOR HRC LLC (NPI 1922575752), doing business as South Holland Manor Health & Rehab Center, is a healthcare organization registered as a skilled nursing facility in South Holland, Illinois and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Levi Israel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922575752
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTH HOLLAND MANOR HRC LLC
Location Address2145 E 170TH STSouth Holland, IL 60473-3788
Mailing Address2201 Main StEvanston, IL 60202-1519 · (847) 905-3000
Organization SubpartNo
Authorized OfficialLevi IsraelCeo · (847) 905-3000
Enumeration DateOctober 30, 2018
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1922575752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2145 E 170TH ST, South Holland, IL 60473

Other Names 1

Doing Business AsSouth Holland Manor Health & Rehab Center

Other Identifiers 1

Other0055053IL · Il Department Of Public Health

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0674703

South Holland Manor Health & Rehab · South Holland, IL
Active · expires Aug 31, 2026
CLIA Number14D0674703
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAndrea Frencher
Laboratory Phone(708) 895-3255
Laboratory LocationSouth Holland Manor Health & Rehab2145 E 170th St, South Holland, IL 60473
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for South Holland Manor Hth & Rhb (CMS certification number 145608), from CMS Care Compare.

South Holland Manor Hth & Rhb

Nursing home · South Holland, IL
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number145608
Certified Beds216 beds125 residents per day on average
Medicare & Medicaid Participant SinceFebruary 23, 1989
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
79.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.83 · LPN 0.65 · RN 0.67
3.15 hrs per resident per day
Weekend Nurse Staffing
2.84 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52.4%
Registered Nurse Turnover
40%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
3
Substantiated Complaints
32
Infection-Control Citations
0
Fines
1 totaling $52,425.75
Medicare Payment Denials
1
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2145 E 170TH ST
SOUTH HOLLAND, IL 60473
Physical Therapist (Geriatrics)
2145 E 170TH ST
SOUTH HOLLAND, IL 60473
Skilled Nursing Facility
2145 E 170TH ST
SOUTH HOLLAND, IL 60473
Skilled Nursing Facility
2145 E 170TH ST
SOUTH HOLLAND, IL 60473
Registered Nurse
2145 E 170TH ST
SOUTH HOLLAND, IL 60473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Holland Manor Hrc LLC's NPI number?

The NPI number for South Holland Manor Hrc LLC is 1922575752. It was assigned to this organization in the NPPES registry on October 30, 2018. The provider is doing business as South Holland Manor Health & Rehab Center.

Where is South Holland Manor Hrc LLC located?

South Holland Manor Hrc LLC is located at 2145 E 170th St, South Holland, IL 60473. The listed phone number is (708) 895-3255.

What is South Holland Manor Hrc LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does South Holland Manor Hrc LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0674703) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is South Holland Manor Hrc LLC a Medicare-certified nursing home?

Yes. South Holland Manor Hth & Rhb is a Medicare-certified nursing home with 216 certified beds.

What quality rating does South Holland Manor Hrc LLC have?

CMS rates South Holland Manor Hth & Rhb 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does South Holland Manor Hrc LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list South Holland Manor Hrc LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Holland Manor Hrc LLC was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.