Active NPI
Crossroads Care Center of Kenosha
- Skilled Nursing Facility
- Kenosha, WI
National Provider Identifier
1083127641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 32nd
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 28, 1977
- Medicare certification status
- Active
- Certified beds
- 110
- Chain
- Avina Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Steve J Klekamp | Operational/Managerial Control | May 8, 2012 | |
| Adp of the SNF | May 8, 2012 | ||
| Gittel Brandman | 5% Or Greater Direct Ownership Interest | Oct 31, 2017 | 40% |
| Operational/Managerial Control | Oct 31, 2017 | ||
| Managing Control - Governing Body | Oct 31, 2017 | ||
| Sarfraz Sidhu | Operational/Managerial Control | Oct 1, 2021 | |
| Adp of the SNF | Oct 1, 2021 | ||
| Igor Rebel | 5% Or Greater Direct Ownership Interest | Oct 22, 2021 | 20% |
| Operational/Managerial Control | Oct 22, 2021 | ||
| Managing Control - Governing Body | Oct 22, 2021 | ||
| Adp of the SNF | Oct 22, 2021 | ||
| Aaron Topper | 5% Or Greater Direct Ownership Interest | Oct 22, 2021 | 40% |
| Operational/Managerial Control | Oct 22, 2021 | 50% | |
| Managing Control - Governing Body | Oct 22, 2021 | ||
| Adp of the SNF | Oct 22, 2021 | ||
| Joseph Brandman | Operational/Managerial Control | Oct 22, 2021 | 50% |
| Managing Control - Governing Body | 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.
-
- Internal Medicine Physician
- Waukesha, WI
- NPI 1801946462
Adp of the SNF, Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.