NPIMap

Organization Active NPI

Avenues at Royal Oak LLC

Doing business as Avenues at Royal Oak

  • Skilled Nursing Facility
  • Kewanee, IL
National Provider Identifier
1356178651
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AVENUES AT ROYAL OAK LLC
Doing business as
Avenues at Royal Oak
Practice address
605 E Church St
Kewanee, IL 61443-3503
Phone
(309) 852-3389
NPI assigned
Sep 19, 2024
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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

605 E Church St
Kewanee, IL 61443-3503

Mailing address

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

Other names 1

  • Avenues at Royal Oak 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
O20250331001299 IL Part A Provider - Skilled Nursing Facility 7113440140 Practice locations: Kewanee, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356178651. Details of each certification follow.

Skilled nursing facility certification: CCN 145418

Legal name
AVENUES AT ROYAL OAK LLC
Doing business as
AVENUES AT ROYAL OAK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 8, 1981
Last certification
Sep 25, 2024
Beds
200
Ownership / control type
Corporation
Multi-facility organization
Arcadia Care
Organization structure
LLCProprietary
Enrollment address
605 E Church St
Kewanee, IL 61443-3503
Nursing home name
AVENUES AT ROYAL OAK
Affiliated entity
ARCADIA CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avenues at Royal OakCCN 145418 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 8, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200134.0 residents per day on average
Chain
Arcadia Care25 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
9Fines totaling $458,614

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Jennifer Spector Individual Corporate Officer Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Petersen SNF Holdings LLC Organization, Skokie, IL LLC Adp of the SNF Feb 17, 2025
Nicole Lee Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Dovid Seitler Individual 5% Or Greater Direct Ownership InterestCeo Dec 1, 2024 46.5%
Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyCeo Dec 1, 2024
Adp of the SNF Dec 1, 2024
Amanda Gronsky Individual Corporate OfficerRegional Director of Operations Dec 1, 2024 100%
Adp of the SNF Dec 1, 2024
Brian Goldfarb Individual Direct Ownership Interest Dec 1, 2024 2%
Michelle McClure Individual Corporate OfficerCoo Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyCoo Dec 1, 2024
Adp of the SNF Dec 1, 2024
Steven Turofsky Individual Operational/Managerial Control Dec 1, 2024
Yosef Meystel Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 23.25%
Arcadia Care Management LLC Organization, Lincolnwood, IL Corporation, Consulting firm, Chain home office Operational/Managerial Control Dec 1, 2024
Adp of the SNF Mar 12, 2025
David a Berkowitz Delta Trust Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 23.25%
Laura Martin Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyAdministrator Dec 1, 2024
Adp of the SNF Dec 1, 2024
Michael Ahearn Individual Adp of the SNF Dec 1, 2024
Naftali Wilhelm Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Curis Services LLC Organization, Lincolnwood, IL LLC, Consulting firm Adp of the SNF Dec 1, 2024
Joshua Hoffman Trust Organization, Chicago, IL 5% Or Greater Direct Ownership Interest Dec 1, 2024 5%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 53

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

View all 53

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1356178651",
    "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": "605 E CHURCH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614433503",
            "telephone_number": "309-852-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES AT ROYAL OAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "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": "Avenues at Royal Oak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kewanee, IL

Sources for this page

Verify at the official NPI Registry.