Organization Active NPI

Elevate Saint Andrew Living Community LLC

  • Skilled Nursing Facility
  • Niles, IL
National Provider Identifier
1467915488
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELEVATE SAINT ANDREW LIVING COMMUNITY LLC
Practice address
7000 N Newark Ave
Niles, IL 60714-4577
Phone
(847) 647-8332
NPI assigned
Apr 8, 2019
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
Amira Krvavac
Title
Ar Director
Phone
(224) 470-2657

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7000 N Newark Ave
Niles, IL 60714-4577

Mailing address

7000 N Newark Ave
Niles, IL 60714-4577
Phone (847) 647-8332

Other names 2

  • Celebrate Senior Living of Niles Doing business as
  • Glen Saint Andrew Living Community Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190603001594 IL Part A Provider - Skilled Nursing Facility 2567795750 Practice locations: Niles, IL

Skilled nursing facility certification: CCN 146176

Legal name
ELEVATE SAINT ANDREW LIVING COMMUNITY LLC
Doing business as
GLEN SAINT ANDREW LIVING COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 30, 2015
Last certification
Oct 31, 2024
Beds
55
Ownership / control type
Other Nonprofit
Most recent change of ownership
Apr 2, 2019
Organization structure
LLCProprietary
Incorporated
Feb 20, 2019 in IL
Enrollment address
7000 N Newark Ave
Niles, IL 60714-4577
Nursing home name
CELEBRATE SENIOR LIVING NILES
Affiliated entity
CELEBRATE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Celebrate Senior Living NilesCCN 146176
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jan 30, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5549.3 residents per day on average
Chain
Celebrate Senior Living3 facilities in the chain
Penalties (3 years)
2Fines totaling $29,754

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
14D0904366Celebrate Senior Living of Niles7000 N Newark Ave, Niles, IL 60714Certificate of waiverAug 16, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Anatoliy Shir Individual Corporate DirectorBoard Member Apr 2, 2019
Miron Tabic Individual W-2 Managing EmployeeAdministrator/Executive Director Apr 2, 2019
Baila Agishtein Individual Corporate DirectorBoard Member Apr 2, 2019
Elevate Housing Foundation Organization, Skokie, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 2, 2019 100%
Boris Maslovsky Individual Corporate DirectorBoard Member Apr 2, 2019
Ilya Shulman Individual Corporate OfficerBoard Chairman Apr 2, 2019
Alla Stavnitser Individual Corporate DirectorBoard Member Apr 2, 2019

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": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1467915488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N NEWARK AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144577",
            "telephone_number": "847-647-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 N NEWARK AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144577",
            "telephone_number": "847-647-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE SAINT ANDREW LIVING COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRVAVAC",
        "authorized_official_first_name": "AMIRA",
        "authorized_official_title_or_position": "AR DIRECTOR",
        "authorized_official_telephone_number": "224-470-2657"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrate Senior Living of Niles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glen Saint Andrew Living Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glen Saint Andrew Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.