Active NPI
Avondale Estates of Elgin LLC
- Skilled Nursing Facility
- Elgin, IL
National Provider Identifier
1184146920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 14-6181
- Legal business name
- AVONDALE ESTATES OF ELGIN LLC
- Practice address
- 1760 Capital St
Elgin, IL 60124-7890 - Phone
- (847) 531-6004
- Fax
- (847) 531-6006
- NPI assigned
- Jul 13, 2017
- Last updated
- Feb 16, 2026
- 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
- Cassandra Simons, MA
- Title
- Director of Billing
- Phone
- (773) 332-3526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 14-6181 | IL | Primary |
Addresses
Primary practice location
1760 Capital St
Elgin, IL 60124-7890
Mailing address
7836 Frontage Rd
Skokie, IL 60077-2637
Phone (847) 674-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0054650 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170916000237 | IL | Part A Provider - Skilled Nursing Facility | 9234403197 | Practice locations: Elgin, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1184146920. Details of each certification follow.
Skilled nursing facility certification: CCN 146181
- Legal name
- AVONDALE ESTATES OF ELGIN, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 5, 2017
- Last certification
- May 23, 2024
- Beds
- 120
- Ownership / control type
- Individual
- Most recent change of ownership
- Aug 1, 2017
- Organization structure
- LLC
- Incorporated
- Jul 1, 2017 in IL
- Enrollment address
- 1760 Capital St
Elgin, IL 60124-7890 - Nursing home name
- AVONDALE ESTATES OF ELGIN
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Avondale Estates of Elgin
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jan 5, 2017
- Medicare certification status
- Active
- Certified beds
- 120
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2099223 | Avondale Estates of Elgin | Certificate of waiver | Jul 21, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| SKZ Holdings Inc | 5% Or Greater Direct Ownership Interest | Feb 1, 2021 | 50% |
| Barak Baver | Corporate Officer | Mar 16, 2021 | |
| Beem March Trust U/a/D 4/09/19 | 5% Or Greater Direct Ownership Interest | Sep 27, 2019 | 50% |
| Allison Bertachhi | W-2 Managing Employee | Feb 12, 2019 |
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1499904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1184146920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7836 FRONTAGE RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772637",
"telephone_number": "847-674-2800",
"fax_number": "847-674-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 CAPITAL ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601247890",
"telephone_number": "847-531-6004",
"fax_number": "847-531-6006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVONDALE ESTATES OF ELGIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-13",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "SIMONS",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "773-332-3526",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "14-6181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0054650",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.