Organization Active NPI

Warren Park Health and Living Center, LLC

Doing business as Warren Park Health and Living Center

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1336385764
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0050070 Issued in IL
Legal business name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Doing business as
Warren Park Health and Living Center
Practice address
6700 N Damen Ave
Chicago, IL 60645-4902
Phone
(773) 465-5000
Fax
(773) 743-5983
NPI assigned
Jan 7, 2009
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
Ms. Frances Meehan
Title
Attorney
Phone
(312) 521-2467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0050070 IL Primary

Addresses

Primary practice location

6700 N Damen Ave
Chicago, IL 60645-4902

Mailing address

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

Other names 1

  • Warren Park Health and Living Center 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
O20090505000013 IL Part A Provider - Skilled Nursing Facility 2264580018 Practice locations: Chicago, IL

Skilled nursing facility certification: CCN 145806

Legal name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Doing business as
WARREN PARK HEALTH AND LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 1, 1994
Last certification
Dec 12, 2024
Beds
127
Ownership / control type
Corporation
Multi-facility organization
Omnia Healthcare
Organization structure
PartnershipProprietary
Incorporated
May 1, 2008 in IL
Enrollment address
6700 North Damen Ave
Chicago, IL 60645-4902
Nursing home name
WARREN PARK HEALTH & LIVING CTR
Affiliated entity
CITADEL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Warren Park Health & Living CtrCCN 145806 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
127125.3 residents per day on average
Chain
Citadel Healthcare14 facilities in the chain
Penalties (3 years)
1Fines totaling $37,668

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
14D0646659Warren Park Health and Living Center6700 N Damen Ave, Chicago, IL 60645Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Tamra Mandeldove Individual Operational/Managerial Control Sep 4, 2023
Adp of the SNF Sep 4, 2023
Ilana D. Aaron 2008 Minority Trust Organization, Morton Grove, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 7, 2016 8%
Todd Andrew Stern 2001 TR Ua 103101 Organization, Chicago, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 7, 2016 8%
Marcella Graf Individual Operational/Managerial Control Oct 5, 2016
Adp of the SNF Oct 5, 2016
Evan Michael Stern 2005 TR 07172005 Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 7, 2016 8%
Jason Robin Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Jonathan Aaron Individual Operational/Managerial Control Oct 5, 2016
Direct Ownership Interest Oct 5, 2016 38%
Jonathan Bryan Stern 2001 TR Uad 103101 Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 7, 2016 30%
Devora Goldstein Individual 5% Or Greater Direct Ownership Interest Aug 20, 2008 8%

Owners & managing parties with NPI records 1

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

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": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1336385764",
    "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": "6700 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454902",
            "telephone_number": "773-465-5000",
            "fax_number": "773-743-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN PARK HEALTH AND LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "312-521-2467",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0050070",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "Warren Park Health and Living Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Warren Park Health and Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.