Citadel at Saint Anne Place LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CITADEL AT SAINT ANNE PLACE LLC

Doing business as

Citadel at Saint Anne Place

Practice address

4405 Highcrest Rd
Rockford, IL 61107-1452

Phone

(815) 229-1999

NPI assigned

Aug 28, 2025

Organization subpart

No

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

Addresses

Other names 1

• Citadel at Saint Anne Place Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1598644130",
    "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": "4405 HIGHCREST RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071452",
            "telephone_number": "815-229-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL AT SAINT ANNE PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "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": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4405 Highcrest Rd",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611071452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Citadel at Saint Anne Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Tonghon Chung, D.D.S.
• Jeanne Marie Chupich, APN
• Frederick William Church, M.D.
• Sierra Cichon, MS CCC-SLP
• Tubanur Ciftci
• Citied
• City of Rockford
• Clarity Counseling and Mediation Inc
• Irisha Gerrhea Clark, MD
• Jean K Clark, LCPC

• Skilled Nursing Facility in Rockford, IL
• Providers in Rockford, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.