CITADEL OF NORTHBROOK LLC (NPI# 1609353473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609353473 |
| Entity Type | Organization |
| Organization Name | CITADEL OF NORTHBROOK LLC |
| Other Organization Name | THE CITADEL OF NORTHBROOK |
| Practice Address |
3300 Milwaukee Ave Northbrook IL 60062 |
| Mailing Address |
3755 Chase Ave Skokie IL 60076-4008 |
| Practice Telephone | 8477959700 |
| Mailing Telephone | 2244702044 |
| Mailing Fax Number | 2244702952 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MARCELLA GRAF (CFO) |
| Authorized Official Telephone | 2244702044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Citadel of Northbrook | Doing Business As Name - Organization |
| Street Address |
3300 MILWAUKEE AVE |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447238910 | Donna D Wittert | Nurse Practitioner | 3300 Milwaukee Ave, Northbrook, IL 60062-7126 | 2006-01-05 |
| 1841831344 | Adina I Urs | Nurse Practitioner | 3300 Milwaukee Ave, Northbrook, IL 60062-7126 | 2019-10-05 |
| 1225075823 | Manor Care of Northbrook Il LLC | Clinic/Center | 3300 Milwaukee Ave, Northbrook, IL 60062-7126 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255420295 | Covenant Health Care Center, Inc | Skilled Nursing Facility | 2155 Pfingsten Road, Northbrook, IL 60062-5900 | 2006-10-11 |
| 1790782449 | Glen Oaks Nursing & Rehabilitation Center, Ltd | Skilled Nursing Facility | 270 Skokie Blvd, Northbrook, IL 60062-1612 | 2005-07-07 |
| 1811552151 | Elevate Care Northbrook LLC | Skilled Nursing Facility | 270 Skokie Blvd, Northbrook, IL 60062-1612 | 2019-05-02 |
| 1548703085 | Northbrook Nh LLC | Skilled Nursing Facility | 4101 Lake Cook Rd, Northbrook, IL 60062-1112 | 2016-12-01 |
| 1871965186 | Northbrook Skilled Nursing Facility LLC | Skilled Nursing Facility | 263 Skokie Blvd, Northbrook, IL 60062-1611 | 2015-10-26 |
| 1912306952 | Glen Oaks Nursing & Rehabilitation Centre | Skilled Nursing Facility | 270 Skokie Blvd, Northbrook, IL 60062-1612 | 2014-08-15 |
| 1659624112 | Grove of Northbrook Living & Rehab Center LLC | Skilled Nursing Facility | 263 Skokie Blvd, Northbrook, IL 60062-1611 | 2012-10-22 |
| 1659568319 | Bravo Care of Northbrook Inc | Skilled Nursing Facility | 4101 Lake Cook Rd, Northbrook, IL 60062-1112 | 2007-09-26 |
| 1942344007 | Lake Cook Terrace Nursing Center | Skilled Nursing Facility | 263 Skokie Blvd, Northbrook, IL 60062-1611 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413537 | Citadel of Glenview LLC | Skilled Nursing Facility | 1700 E Lake Ave, Glenview, IL 60025-2003 | 2020-09-28 |
| 1598379075 | Patient Builders Marketing | Skilled Nursing Facility | 800 W Army Trail Rd, Carol Stream, IL 60188-9040 | 2020-09-02 |
| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.