Organization Active NPI

Crossroads Care Center of Kenosha

  • Skilled Nursing Facility
  • Kenosha, WI
National Provider Identifier
1083127641
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CROSSROADS CARE CENTER OF KENOSHA
Practice address
8633 32ND Ave
Kenosha, WI 53142-5187
Phone
(262) 694-8300
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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

8633 32ND Ave
Kenosha, WI 53142-5187

Mailing address

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

Other names 1

  • Avina on 32nd Doing business as

Electronic endpoints 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171228001392 WI Part A Provider - Skilled Nursing Facility 2365700168 Practice locations: Kenosha, WI

Skilled nursing facility certification: CCN 525282

Legal name
CROSSROADS CARE CENTER OF KENOSHA
Doing business as
AVINA ON 32ND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 28, 1977
Last certification
Nov 20, 2024
Beds
110
Ownership / control type
Corporation
Multi-facility organization
CROSSROADS
Most recent change of ownership
Dec 1, 2017
Organization structure
LLCProprietary
Enrollment address
8633 32ND Ave
Kenosha, WI 53142-5187
Nursing home name
AVINA ON 32ND
Affiliated entity
AVINA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avina on 32ndCCN 525282
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 28, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11060.3 residents per day on average
Chain
Avina Healthcare9 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $26,322

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Steve J Klekamp Individual Operational/Managerial Control May 8, 2012
Adp of the SNF May 8, 2012
Gittel Brandman Individual 5% Or Greater Direct Ownership Interest Oct 31, 2017 40%
Operational/Managerial Control Oct 31, 2017
Managing Control - Governing BodyMenber Oct 31, 2017
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 Oct 22, 2021 20%
Operational/Managerial Control Oct 22, 2021
Managing Control - Governing BodyMenber Oct 22, 2021
Adp of the SNF Oct 22, 2021
Aaron Topper Individual 5% Or Greater Direct Ownership Interest Oct 22, 2021 40%
Operational/Managerial ControlManager Oct 22, 2021 50%
Managing Control - Governing BodyManaging Member Oct 22, 2021
Adp of the SNF Oct 22, 2021
Joseph Brandman Individual Operational/Managerial ControlManager Oct 22, 2021 50%
Managing Control - Governing BodyManager Oct 22, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1780444800000",
    "number": "1083127641",
    "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": "8633 32ND AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531425187",
            "telephone_number": "262-694-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CARE CENTER OF KENOSHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "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": "N",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "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 on 32nd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.