Active NPI
Elevate Saint Andrew Living Community LLC
- Skilled Nursing Facility
- Niles, IL
National Provider Identifier
1467915488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Glen Saint Andrew Living Community
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Niles
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Jan 30, 2015
- Medicare certification status
- Active
- Certified beds
- 55
- Chain
- Celebrate Senior Living
- 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 |
|---|---|---|---|
| 14D0904366 | Celebrate Senior Living of Niles | Certificate of waiver | Aug 16, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waterloo, IA
- NPI 1710503982
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Anatoliy Shir | Corporate Director | Apr 2, 2019 | |
| Miron Tabic | W-2 Managing Employee | Apr 2, 2019 | |
| Baila Agishtein | Corporate Director | Apr 2, 2019 | |
| Elevate Housing Foundation | 5% Or Greater Direct Ownership Interest | Apr 2, 2019 | 100% |
| Boris Maslovsky | Corporate Director | Apr 2, 2019 | |
| Ilya Shulman | Corporate Officer | Apr 2, 2019 | |
| Alla Stavnitser | Corporate Director | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.