Active NPI
Citadel at Saint Benedict LLC
Doing business as Citadel at Saint Benedict
- Skilled Nursing Facility
- Niles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CITADEL AT SAINT BENEDICT LLC
- Doing business as
- Citadel at Saint Benedict
- Practice address
- 6930 W Touhy Ave
Niles, IL 60714-4522 - Phone
- (847) 647-0003
- Fax
- (847) 647-1936
- NPI assigned
- Jun 4, 2024
- Last updated
- Nov 4, 2025
- 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
- Marcella Graf
- Title
- Cfo
- Phone
- (224) 470-2044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6930 W Touhy Ave
Niles, IL 60714-4522
Mailing address
3701 W Lunt Ave
Lincolnwood, IL 60712-2615
Phone (224) 470-2044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6008874 | Medicaid | IL |
Other names 1
- Citadel at Saint Benedict
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 |
|---|---|---|---|---|
| O20250217002426 | IL | Part A Provider - Skilled Nursing Facility | 6608396908 | Practice locations: Niles, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1467293480. Details of each certification follow.
Skilled nursing facility certification: CCN 145731
- Legal name
- CITADEL AT SAINT BENEDICT LLC
- Doing business as
- CITADEL AT SAINT BENEDICT
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1992
- Last certification
- May 29, 2025
- Beds
- 99
- Ownership / control type
- Corporation
- Multi-facility organization
- Omnia Health Care Group
- Most recent change of ownership
- Sep 3, 2024
- Organization structure
- LLC
- Enrollment address
- 6930 W Touhy Ave
Niles, IL 60714-4522 - Nursing home name
- CITADEL AT SAINT BENEDICT
- Affiliated entity
- CITADEL HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Citadel at Saint Benedict
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 1, 1992
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Citadel Healthcare
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 14D0718455 | Citadel at Saint Benedict | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 20
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 |
|---|---|---|---|
| Israel Family Investment Trust | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 6.5% |
| Adp of the SNF | Oct 24, 2024 | ||
| Ab Investment Trust U/a/D 01/03/23 | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 13% |
| Adp of the SNF | Oct 24, 2024 | ||
| Marcella Graf | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 2% |
| Operational/Managerial Control | Sep 3, 2024 | ||
| Adp of the SNF | Sep 3, 2024 | ||
| Trustee of the SNF | Sep 3, 2024 | ||
| Jeremy Kanter | Operational/Managerial Control | Sep 3, 2024 | |
| Adp of the SNF | Sep 3, 2024 | ||
| Todd a Stern 2015 Irrv Ins TR | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 15% |
| Adp of the SNF | Oct 24, 2024 | ||
| Gabriel Kroll | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 1% |
| Jason Robin | Operational/Managerial Control | Sep 3, 2024 | |
| Adp of the SNF | Sep 3, 2024 | ||
| Marianne Marcocig | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 2% |
| Trustee of the SNF | Sep 3, 2024 | ||
| Israel Investment TR | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 6.5% |
| Adp of the SNF | Oct 24, 2024 | ||
| Jonathan Aaron | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 30% |
| Operational/Managerial Control | Sep 3, 2024 | ||
| Aaron Family Investment Trust | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 30% |
| Adp of the SNF | Oct 24, 2024 | ||
| Katherine a Proctor | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 1% |
| 6930 Touhy Avenue LLC | Adp of the SNF | Sep 3, 2024 | |
| Steven Nagel | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 2% |
| Omnia Healthcare Group LLC | Adp of the SNF | Sep 3, 2024 | |
| Trustee of the SNF | Sep 3, 2024 | ||
| Chananel Teller | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 20% |
| Operational/Managerial Control | Sep 3, 2024 | ||
| Adp of the SNF | Sep 3, 2024 | ||
| Shoshana Gross | 5% Or Greater Direct Ownership Interest | Sep 3, 2024 | 1% |
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
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Citadel at Casa Scalabrini
- Skilled Nursing Facility
- Northlake, IL
- NPI 1023859048
Aaron Family Investment Trust, Ab Investment Trust U/a/D 01/03/23, Israel Family Investment Trust, Israel Investment TR, Todd a Stern 2015 Irrv Ins TR
-
dba Citadel Care Center-Kankakee
- Skilled Nursing Facility
- Kankakee, IL
- NPI 1649648833
Israel Family Investment Trust, Israel Investment TR
-
dba Citadel Care Center-Wilmette
- Skilled Nursing Facility
- Wilmette, IL
- NPI 1366810558
Israel Family Investment Trust, Israel Investment TR
-
dba The Citadel of Bourbonnais
- Skilled Nursing Facility
- Bourbonnais, IL
- NPI 1710594353
Ab Investment Trust U/a/D 01/03/23, Israel Family Investment Trust, Israel Investment TR, Todd a Stern 2015 Irrv Ins TR
-
dba The Citadel of Glenview
- Skilled Nursing Facility
- Glenview, IL
- NPI 1902413537
Ab Investment Trust U/a/D 01/03/23, Israel Family Investment Trust, Israel Investment TR, Todd a Stern 2015 Irrv Ins TR
-
- Skilled Nursing Facility
- Hanover Park, IL
- NPI 1932899689
Israel Family Investment Trust, Israel Investment TR
-
dba Pavilion of Bridgeview
- Skilled Nursing Facility
- Bridgeview, IL
- NPI 1316685969
Todd a Stern 2015 Irrv Ins TR
-
dba Pavilion of Logan Square
- Skilled Nursing Facility
- Chicago, IL
- NPI 1588302137
Todd a Stern 2015 Irrv Ins TR
-
dba Pavilion of Ottawa
- Skilled Nursing Facility
- Ottawa, IL
- NPI 1306584958
Todd a Stern 2015 Irrv Ins TR
-
dba Pavilion of South Shore
- Skilled Nursing Facility
- Chicago, IL
- NPI 1922746577
Todd a Stern 2015 Irrv Ins TR
-
dba Pavilion on Main Street
- Skilled Nursing Facility
- Sandwich, IL
- NPI 1366180903
Todd a Stern 2015 Irrv Ins TR
-
- Skilled Nursing Facility
- Kansas City, MO
- NPI 1649808577
Israel Family Investment Trust, Israel Investment TR
Practitioners & affiliated clinicians
Affiliated clinicians 6
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": "1717459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1467293480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 W LUNT AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122615",
"telephone_number": "224-470-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6930 W TOUHY AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607144522",
"telephone_number": "847-647-0003",
"fax_number": "847-647-1936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITADEL AT SAINT BENEDICT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-04",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "GRAF",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "224-470-2044"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6008874",
"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 at Saint Benedict",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Niles, 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.