NPIMap

Organization Active NPI

Citadel of Skokie LLC

Doing business as The Citadel of Skokie

  • Skilled Nursing Facility
  • Skokie, IL
National Provider Identifier
1093354078
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CITADEL OF SKOKIE LLC
Doing business as
The Citadel of Skokie
Practice address
9615 Knox Ave
Skokie, IL 60076-1219
Phone
(847) 679-4161
Fax
(847) 679-3241
NPI assigned
Dec 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Marcella Graf
Title
Cfo
Phone
(224) 470-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9615 Knox Ave
Skokie, IL 60076-1219

Mailing address

3755 Chase Ave
Skokie, IL 60076-4008
Phone (224) 470-2044

Other identifiers 1

IdentifierTypeStateIssuer
0048959MedicaidIL

Other names 1

  • The Citadel of Skokie Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200225000099 IL Part A Provider - Skilled Nursing Facility 4385071760 Practice locations: Skokie, IL

Skilled nursing facility certification: CCN 145468

Legal name
CITADEL OF SKOKIE LLC
Doing business as
THE CITADEL OF SKOKIE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 10, 1983
Last certification
Oct 31, 2024
Beds
113
Ownership / control type
Corporation
Multi-facility organization
Citadel Healthcare
Organization structure
LLCProprietary
Incorporated
Jun 5, 2019 in IL
Enrollment address
9615 Knox Ave
Skokie, IL 60076-1219
Nursing home name
CITADEL OF SKOKIE, THE
Affiliated entity
CITADEL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Citadel of Skokie, theCCN 145468 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 10, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
113103.0 residents per day on average
Chain
Citadel Healthcare14 facilities in the chain
Penalties (3 years)
3Fines totaling $27,891

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
14D2192499Citadel of Skokie9615 Knox Avenue, Skokie, IL 60076Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Israel Family Investment Trust Organization, Lincolnwood, IL Owned by another organization or individual Direct Ownership Interest Dec 15, 2023 4.99%
Ilana Teller Individual Direct Ownership Interest Dec 15, 2023 4.99%
Adam Gorenstein Individual Operational/Managerial Control Nov 9, 2022
Adp of the SNF Nov 9, 2022
Marcella Graf Individual Operational/Managerial Control Feb 1, 2020
Direct Ownership Interest Feb 1, 2020 4%
Yakov Kohen Individual Direct Ownership Interest Dec 15, 2023 2%
Jason Robin Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Israel Investment TR Organization, Lincolnwood, IL Owned by another organization or individual Direct Ownership Interest Dec 15, 2023 4.99%
Jonathan Aaron Individual 5% Or Greater Direct Ownership InterestManager Dec 15, 2023 38.05%
Operational/Managerial Control Jan 23, 2020
Kenneth Ripstein Individual Direct Ownership Interest Dec 15, 2023 3%
Katherine a Proctor Individual Direct Ownership Interest Dec 15, 2023 1%
Raphaela E Stern Individual Direct Ownership Interest Dec 15, 2023 4.99%
Stern Family Investment TR Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 15, 2023 16.01%
Menachem Berger Individual Direct Ownership Interest Dec 15, 2023 4.99%
Shoshana Gross Individual Direct Ownership Interest Dec 15, 2023 1%
Jonah Bruck Individual Direct Ownership Interest Feb 1, 2020 2.5%
Berger Fam TR Ua 06252014 Organization, Chicago, IL Owned by another organization or individual Direct Ownership Interest Dec 15, 2023 4.99%
Leonard Weiss Individual Direct Ownership Interest Feb 1, 2020 2.5%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1093354078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 CHASE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764008",
            "telephone_number": "224-470-2044",
            "fax_number": "224-470-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9615 KNOX AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761219",
            "telephone_number": "847-679-4161",
            "fax_number": "847-679-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL OF SKOKIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "224-470-2044"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048959",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Citadel of Skokie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Citadel of Skokie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.