NPIMap

Organization Active NPI

Citadel Care Center-Wilmette, LLC

Doing business as Citadel Care Center-Wilmette

  • Skilled Nursing Facility
  • Wilmette, IL
National Provider Identifier
1366810558
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CITADEL CARE CENTER-WILMETTE, LLC
Doing business as
Citadel Care Center-Wilmette
Practice address
432 Poplar Dr
Wilmette, IL 60091-2731
Phone
(847) 256-5000
Fax
(847) 256-0225
NPI assigned
Sep 4, 2015
Last updated
Nov 4, 2025By the provider in NPPES
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
Mr. Jonathon Aaron
Title
Manager
Phone
(224) 470-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

432 Poplar Dr
Wilmette, IL 60091-2731

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
47921601001MedicaidIL

Other names 1

  • Citadel Care Center-Wilmette 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 PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160426001587 PA Part A Provider - Skilled Nursing Facility 2062711096 Practice locations: Wilmette, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366810558. Details of each certification follow.

Skilled nursing facility certification: CCN 145932

Legal name
CITADEL CARE CENTER-WILMETTE LLC
Doing business as
CITADEL CARE CENTER-WILMETTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 15, 1997
Last certification
Feb 20, 2025
Beds
80
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Citadel Healthcare
Organization structure
LLCProprietary
Incorporated
Aug 25, 2015 in IL
Enrollment address
432 Poplar Drive
Wilmette, IL 60091-2731
Nursing home name
CITADEL CARE CENTER-WILMETTE
Affiliated entity
CITADEL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Citadel Care Center-WilmetteCCN 145932 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 15, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8059.4 residents per day on average
Chain
Citadel Healthcare14 facilities in the chain

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
14D2144647Citadel Care Center - Wilmette432 Poplar Dr, Wilmette, IL 60091Certificate of waiverFeb 20, 2028

National Provider Directory

National Provider Directory

Locations

432 Poplar Dr
Wilmette, IL 60091
Phone (847) 256-5000

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
Israel Family Investment Trust Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 15, 2023 5.41%
Ilana Teller Individual Direct Ownership Interest Dec 15, 2023 4.99%
Marcella Graf Individual Operational/Managerial Control Jan 24, 2022
Adp of the SNF Jan 24, 2022
Direct Ownership Interest Dec 15, 2023 1%
Yakov Kohen Individual Direct Ownership Interest Dec 15, 2023 5%
Gabriel Kroll Individual Direct Ownership Interest Dec 15, 2023 1%
Jonathan Ollman Individual Direct Ownership Interest Dec 15, 2023 1%
Jason Robin Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Adetola Olugbermiga Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Israel Investment TR Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 15, 2023 5.41%
Jonathan Aaron Individual 5% Or Greater Direct Ownership InterestManager Dec 15, 2023 37.06%
Operational/Managerial ControlManager Dec 15, 2023 33.13%
Kenneth Ripstein Individual Direct Ownership Interest Dec 15, 2023 3%
Katherine a Proctor Individual Direct Ownership Interest Dec 15, 2023 1%
Stern Family Investment TR Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 15, 2023 22.56%
Steven Nagel Individual Direct Ownership Interest Dec 15, 2023 1%
Shoshana Gross Individual Direct Ownership Interest Dec 15, 2023 1%
Berger Fam TR Ua 06252014 Organization, Chicago, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 15, 2023 10.57%

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 26

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

View all 26

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": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1366810558",
    "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": "432 POPLAR DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912731",
            "telephone_number": "847-256-5000",
            "fax_number": "847-256-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL CARE CENTER-WILMETTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-470-2044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47921601001",
            "state": "IL"
        }
    ],
    "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": "Citadel Care Center-Wilmette",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citadel Care Center-Wilmette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.