NPIMap

Organization Active NPI

The Waterford LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1548719610
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE WATERFORD LLC
Practice address
7445 N Sheridan Rd
Chicago, IL 60626-1818
Phone
(224) 470-2044
NPI assigned
Sep 29, 2016
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

7445 N Sheridan Rd
Chicago, IL 60626-1818

Mailing address

3755 Chase Ave
Skokie, IL 60076-4008
Phone (224) 470-2044

Other identifiers 1

IdentifierTypeStateIssuer
363853042002MedicaidIL

Other names 1

  • The Waterford Care Center 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
O20161118002362 IL Part A Provider - Skilled Nursing Facility 8224317946 Practice locations: Chicago, IL

Skilled nursing facility certification: CCN 145659

Legal name
THE WATERFORD LLC
Doing business as
THE WATERFORD CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 20, 1989
Last certification
Dec 20, 2024
Beds
141
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Sep 8, 2016 in IL
Enrollment address
7445 N Sheridan Rd
Chicago, IL 60626-1818
Nursing home name
WATERFORD CARE CENTER, THE
Affiliated entity
CITADEL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waterford Care Center, theCCN 145659
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 20, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
141134.1 residents per day on average
Chain
Citadel Healthcare14 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Ilana Teller Individual Direct Ownership Interest Apr 1, 2023 4%
Ari Shabat Investment Trust U/a/D October 18, 2016 Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 9, 2016 15%
Marcella Graf Individual Operational/Managerial Control Nov 1, 2016
Direct Ownership Interest Nov 1, 2016 3%
Chaim Yitzchak Shabat Investment Trust U/a/D October 18, 2016 Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 9, 2016 15%
Yakov Kohen Individual Direct Ownership Interest Nov 1, 2016 2%
Jason Robin Individual Operational/Managerial Control Nov 4, 2025
Adp of the SNF Nov 4, 2025
Jonathan Aaron Individual 5% Or Greater Direct Ownership Interest Apr 1, 2023 36.85%
Operational/Managerial ControlManager Nov 1, 2016 50%
Managing Control - Governing BodyManager Nov 1, 2016
Katherine a Proctor Individual Direct Ownership Interest Apr 1, 2023 1%
Raphaela E Stern Individual Direct Ownership Interest Apr 1, 2023 4.95%
Stern Family Investment TR Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2023 17.2%
Kathleen Donohue Individual Operational/Managerial Control Nov 1, 2016
Adp of the SNF Nov 1, 2016
Shoshana Gross Individual Direct Ownership Interest Apr 1, 2023 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 15

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

View all 15

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1548719610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 CHASE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764008",
            "telephone_number": "224-470-2044",
            "fax_number": "224-470-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261818",
            "telephone_number": "224-470-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WATERFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "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": "363853042002",
            "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": "The Waterford Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Waterford Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.