NPIMap

Organization Active NPI

Elevate Care South Holland LLC

Doing business as Elevate Care South Holland

  • Skilled Nursing Facility
  • South Holland, IL
National Provider Identifier
1114644234
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELEVATE CARE SOUTH HOLLAND LLC
Doing business as
Elevate Care South Holland
Practice address
16300 Wausau Ave
South Holland, IL 60473-2158
Phone
(708) 596-5500
NPI assigned
Oct 20, 2022
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Jennifer Spector
Title
VP of Revenue Cycle Management
Phone
(847) 262-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

16300 Wausau Ave
South Holland, IL 60473-2158

Mailing address

4655 W Chase Ave
Lincolnwood, IL 60712-1605
Phone (847) 262-3800

Other names 1

  • ELEVATE CARE SOUTH HOLLAND 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 IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230602000030 IL Part A Provider - Skilled Nursing Facility 5698132868 Practice locations: South Holland, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114644234. Details of each certification follow.

Skilled nursing facility certification: CCN 145671

Legal name
ELEVATE CARE SOUTH HOLLAND LLC
Doing business as
ELEVATE CARE SOUTH HOLLAND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 3, 1990
Last certification
Dec 13, 2024
Beds
171
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Feb 1, 2023
Organization structure
LLCProprietary
Enrollment address
16300 Wausau Ave
South Holland, IL 60473-2158
Nursing home name
ELEVATE CARE SOUTH HOLLAND
Affiliated entity
ELEVATE CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elevate Care South HollandCCN 145671 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 3, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
171124.9 residents per day on average
Chain
Elevate Care14 facilities in the chain
Penalties (3 years)
7Fines totaling $240,240

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Elevate Care Consulting LLC Organization, Lincolnwood, IL LLC, Consulting firm Adp of the SNF Jan 1, 2023
Jennifer Spector Individual Corporate OfficerChief Revenue Officer Jan 1, 2023 100%
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Atied Associates LLC Organization, Lincolnwood, IL LLC 5% Or Greater Direct Ownership Interest Jan 1, 2023 25%
Elevate Care Inc Organization, Lincolnwood, IL Corporation, Management services company, Consulting firm, Chain home office Operational/Managerial Control Jan 1, 2023 100%
Adp of the SNF Mar 25, 2025
Craig Frank Individual Managing Control - Governing BodyRegional Director of Operations Jan 1, 2023
Adp of the SNF Jan 1, 2023
Amanda Andrews Individual Corporate OfficerCoo Jan 1, 2023 100%
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Direct Ownership Interest Jan 1, 2023 1%
Jimmy Thengil Individual Direct Ownership Interest Jan 1, 2023 1%
Meir Meystel Revocable Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Jan 1, 2023 34%
Moshe Meystel Individual Corporate OfficerCeo Jan 1, 2023 100%
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Direct Ownership Interest Jan 1, 2023 4.5%
Yosef Meystel Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Jan 1, 2023 16.5%
David a Berkowitz Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Jan 1, 2023 16.5%
Kalea Williams Individual Operational/Managerial Control Jan 1, 2023
Managing Control - Governing BodyDirector of Nursing Jan 1, 2023
Adp of the SNF Jan 1, 2023
Meir Meystel Individual Corporate OfficerPresident Jan 1, 2023 100%
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Michael Hunter Individual Operational/Managerial Control Jan 1, 2023
Managing Control - Governing BodyAdministrator Jan 1, 2023
Adp of the SNF Jan 1, 2023
Naftali Wilhelm Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Curis Services LLC Organization, Lincolnwood, IL LLC, Consulting firm Adp of the SNF Jan 1, 2023
Aperion Care Exec Holdings LLC Organization, Lincolnwood, IL LLC Direct Ownership Interest Jan 1, 2023 1.5%
Anthony del Priore Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023

Owners & managing parties with NPI records 2

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

Facilities with the same owner 80

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

View all 80

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1114644234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 W CHASE AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121605",
            "telephone_number": "847-262-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 WAUSAU AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732158",
            "telephone_number": "708-596-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE CARE SOUTH HOLLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "847-262-3800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "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": "ELEVATE CARE SOUTH HOLLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Holland, IL

Sources for this page

Verify at the official NPI Registry.