Organization Active NPI

Citadel at Saint Benedict LLC

Doing business as Citadel at Saint Benedict

  • Skilled Nursing Facility
  • Niles, IL
National Provider Identifier
1467293480
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 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, 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
Marcella Graf
Title
Cfo
Phone
(224) 470-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6008874MedicaidIL

Other names 1

  • Citadel at Saint Benedict 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
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
LLCProprietary
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 BenedictCCN 145731 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9991.2 residents per day on average
Chain
Citadel Healthcare14 facilities in the chain
Penalties (3 years)
2Fines totaling $64,531

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
14D0718455Citadel at Saint Benedict6930 W Touhy Ave, Niles, IL 60714Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Israel Family Investment Trust Organization, Lincolnwood, IL 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 Organization, Chicago, IL 5% Or Greater Direct Ownership Interest Sep 3, 2024 13%
Adp of the SNF Oct 24, 2024
Marcella Graf Individual 5% Or Greater Direct Ownership InterestCfo Sep 3, 2024 2%
Operational/Managerial Control Sep 3, 2024
Adp of the SNF Sep 3, 2024
Individual Trustee of the SNF Sep 3, 2024
Jeremy Kanter Individual Operational/Managerial Control Sep 3, 2024
Adp of the SNF Sep 3, 2024
Todd a Stern 2015 Irrv Ins TR Organization, Skokie, IL 5% Or Greater Direct Ownership Interest Sep 3, 2024 15%
Adp of the SNF Oct 24, 2024
Gabriel Kroll Individual 5% Or Greater Direct Ownership Interest Sep 3, 2024 1%
Jason Robin Individual Operational/Managerial Control Sep 3, 2024
Adp of the SNF Sep 3, 2024
Marianne Marcocig Individual 5% Or Greater Direct Ownership Interest Sep 3, 2024 2%
Individual Trustee of the SNF Sep 3, 2024
Israel Investment TR Organization, Lincolnwood, IL 5% Or Greater Direct Ownership Interest Sep 3, 2024 6.5%
Adp of the SNF Oct 24, 2024
Jonathan Aaron Individual 5% Or Greater Direct Ownership Interest Sep 3, 2024 30%
Operational/Managerial Control Sep 3, 2024
Aaron Family Investment Trust Organization, Northbrook, IL 5% Or Greater Direct Ownership Interest Sep 3, 2024 30%
Adp of the SNF Oct 24, 2024
Katherine a Proctor Individual 5% Or Greater Direct Ownership Interest Sep 3, 2024 1%
6930 Touhy Avenue LLC Organization, Lincolnwood, IL LLC Adp of the SNF Sep 3, 2024
Steven Nagel Individual 5% Or Greater Direct Ownership Interest Sep 3, 2024 2%
Omnia Healthcare Group LLC Organization, Lincolnwood, IL LLC, Management services company Adp of the SNF Sep 3, 2024
Individual Trustee of the SNF Sep 3, 2024
Chananel Teller Individual 5% Or Greater Direct Ownership InterestCoo Sep 3, 2024 20%
Operational/Managerial Control Sep 3, 2024
Adp of the SNF Sep 3, 2024
Shoshana Gross Individual 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.

Facilities with the same owner 22

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

View all 22

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

Verify at the official NPI Registry.