NPIMap

Organization Active NPI

Washington Senior Living LLC

  • Skilled Nursing Facility
  • Washington, IL
National Provider Identifier
1477103273
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WASHINGTON SENIOR LIVING LLC
Doing business as
Washington Senior Living LLC
Practice address
1201 Newcastle Rd
Washington, IL 61571-1243
Phone
(309) 444-3161
NPI assigned
Sep 13, 2019
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Dujua
Title
Director of Ar
Phone
(630) 217-1014

Specialties & licenses 1

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

Addresses

Primary practice location

1201 Newcastle Rd
Washington, IL 61571-1243

Mailing address

1201 Newcastle Rd
Washington, IL 61571-1243
Phone (309) 444-3161

Other names 1

  • Washington Senior Living LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191203002948 IL Part A Provider - Skilled Nursing Facility 3173956273 Practice locations: Washington, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477103273. Details of each certification follow.

Skilled nursing facility certification: CCN 145000

Legal name
WASHINGTON SENIOR LIVING LLC
Doing business as
WASHINGTON SENIOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1967
Last certification
Dec 20, 2024
Beds
122
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Oct 1, 2019
Organization structure
LLCProprietary
Incorporated
Oct 1, 2019 in IL
Enrollment address
1201 Newcastle Rd
Washington, IL 61571-1243
Nursing home name
WASHINGTON SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Washington Senior LivingCCN 145000 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12265.0 residents per day on average
Penalties (3 years)
1Fines totaling $232,727

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
14D2318959Washington Senior Living1201 Newcastle Rd, Washington, IL 61571Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Kathryn Vales Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2019 47.5%
Susan Truhlar Individual Corporate Director Apr 4, 2020
Nachum Langsner Trust Organization, Chicago, IL LLC 5% Or Greater Indirect Ownership Interest Dec 12, 2019 23.75%
Senior Living Holdings LLC Organization, Evanston, IL LLC 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Anna Sarah Salazar Dujua Individual Corporate DirectorDirector of Accounts Receivable Apr 4, 2020
Miriam Langsner Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jun 19, 2020 23.75%
Bensenville Holdings LLC Organization, Evanston, IL LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2019 47.5%
Mark Ashley Matthews Individual W-2 Managing EmployeeAdministrator Jun 24, 2022
LHCH LLC Organization, Evanston, IL LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2019 47.5%
Atru LLC Organization, Evanston, IL LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2019 5%

Facilities with the same owner 5

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1477103273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NEWCASTLE RD",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711243",
            "telephone_number": "309-444-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NEWCASTLE RD",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711243",
            "telephone_number": "309-444-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "DUJUA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "630-217-1014"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Senior Living LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washington Senior Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IL

Sources for this page

Verify at the official NPI Registry.