Organization Active NPI

Crossroads Care Center of Sun Prairie LLC

Doing business as Avina of Sun Prairie

  • Skilled Nursing Facility
  • Sun Prairie, WI
National Provider Identifier
1063925634
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CROSSROADS CARE CENTER OF SUN PRAIRIE LLC
Doing business as
Avina of Sun Prairie
Practice address
41 Rickel Rd
Sun Prairie, WI 53590-1840
Phone
(608) 837-8529
NPI assigned
Nov 6, 2017
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
David Merzel
Title
Cfo
Phone
(847) 983-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

41 Rickel Rd
Sun Prairie, WI 53590-1840

Mailing address

5454 Fargo Ave
Skokie, IL 60077-3210
Phone (847) 983-4860

Other names 1

  • Avina of Sun Prairie Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180123000110 WI Part A Provider - Skilled Nursing Facility 4587923453 Practice locations: Sun Prairie, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063925634. Details of each certification follow.

Skilled nursing facility certification: CCN 525313

Legal name
CROSSROADS CARE CENTER OF SUN PRAIRIE LLC
Doing business as
AVINA OF SUN PRAIRIE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 23, 1981
Last certification
Aug 22, 2024
Beds
50
Ownership / control type
Limited Liability Corporation
Multi-facility organization
AA Healthcare Management
Organization structure
LLCProprietary
Enrollment address
41 Rickel Rd
Sun Prairie, WI 53590-1840
Nursing home name
AVINA OF SUN PRAIRIE
Affiliated entity
AVINA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avina of Sun PrairieCCN 525313 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 23, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5037.4 residents per day on average
Chain
Avina Healthcare9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0664457Crossroads Care Center of Sun Prairie41 Rickel Road, Sun Prairie, WI 53590Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Sarfraz Sidhu Individual Operational/Managerial Control Oct 1, 2021
Adp of the SNF Oct 1, 2021
Igor Rebel Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 20%
Operational/Managerial Control Dec 1, 2017
Managing Control - Governing BodyMember Dec 1, 2017
Adp of the SNF Dec 1, 2017
Peter Vander Meer Individual Operational/Managerial Control May 29, 2024
Adp of the SNF May 29, 2024
Aaron Topper Individual 5% Or Greater Direct Ownership InterestManager Dec 1, 2017 40%
Operational/Managerial ControlManager Dec 1, 2017 50%
Managing Control - Governing BodyManaging Member Dec 1, 2017
Adp of the SNF Dec 1, 2017

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 1

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": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1063925634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 FARGO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773210",
            "telephone_number": "847-983-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 RICKEL RD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901840",
            "telephone_number": "608-837-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CARE CENTER OF SUN PRAIRIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "MERZEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-983-4860"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Avina of Sun Prairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun Prairie, WI

Sources for this page

Verify at the official NPI Registry.