Organization Active NPI

Avondale Estates of Elgin LLC

  • Skilled Nursing Facility
  • Elgin, IL
National Provider Identifier
1184146920
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
14-6181 Issued in IL
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0054650MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 ElginCCN 146181 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jan 5, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12073.3 residents per day on average

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
14D2099223Avondale Estates of Elgin1760 Capital St, Elgin, IL 60124Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
SKZ Holdings Inc Organization, Chicago, IL Corporation 5% Or Greater Direct Ownership Interest Feb 1, 2021 50%
Barak Baver Individual Corporate OfficerPresident Mar 16, 2021
Beem March Trust U/a/D 4/09/19 Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Sep 27, 2019 50%
Allison Bertachhi Individual W-2 Managing EmployeeAdministrator 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

Verify at the official NPI Registry.