Active NPI
Warren Park Health and Living Center, LLC
Doing business as Warren Park Health and Living Center
- Skilled Nursing Facility
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0050070
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Partnership
- 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 Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 1, 1994
- Medicare certification status
- Active
- Certified beds
- 127
- Chain
- Citadel Healthcare
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 14D0646659 | Warren Park Health and Living Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Tamra Mandeldove | Operational/Managerial Control | Sep 4, 2023 | |
| Adp of the SNF | Sep 4, 2023 | ||
| Ilana D. Aaron 2008 Minority Trust | 5% Or Greater Direct Ownership Interest | Oct 7, 2016 | 8% |
| Todd Andrew Stern 2001 TR Ua 103101 | 5% Or Greater Direct Ownership Interest | Oct 7, 2016 | 8% |
| Marcella Graf | Operational/Managerial Control | Oct 5, 2016 | |
| Adp of the SNF | Oct 5, 2016 | ||
| Evan Michael Stern 2005 TR 07172005 | 5% Or Greater Direct Ownership Interest | Oct 7, 2016 | 8% |
| Jason Robin | Operational/Managerial Control | May 1, 2024 | |
| Adp of the SNF | May 1, 2024 | ||
| Jonathan Aaron | Operational/Managerial Control | Oct 5, 2016 | |
| Direct Ownership Interest | Oct 5, 2016 | 38% | |
| Jonathan Bryan Stern 2001 TR Uad 103101 | 5% Or Greater Direct Ownership Interest | Oct 7, 2016 | 30% |
| Devora Goldstein | 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.
-
- Cardiovascular Disease Physician
- Glenview, IL
- NPI 1144307729
Adp of the SNF, Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.