Ahva Care of Stickney, LLC
Organization Active NPI Skilled Nursing Facility · Stickney, IL
NPI 1659967693 · NPPES record last updated Feb 16, 2026
Key facts
- NPI
- 1659967693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- AHVA CARE OF STICKNEY, LLC
- Practice address
- 3900 Oak Park Ave
Stickney, IL 60402-4168 - Phone
- (773) 575-2222
- NPI assigned
- Dec 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Cassandra Simons, MA
- Title
- Director of Billing
- Phone
- (773) 332-3526
Facilities with the same owner 1
Affiliated clinicians 2
-
M S Bhagavan, M.D.
-
Deepak Leekha, MD
Medicare Care Compare: Nursing home
- Listed as
- Ahva Care of Stickney
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 5, 2005
- Medicare certification status
- Active
- Certified beds
- 51 · 36.5 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $41,250
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2079246 | Ahva Care of Stickney | Certificate of waiver | Aug 17, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 146078
- Legal name
- AHVA CARE OF STICKNEY LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Apr 5, 2005
- Last certification
- May 23, 2024
- Beds
- 51
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Dec 2, 2020 in IL
- Enrollment address
- 3900 South Oak Park Ave
Stickney, IL 60402-4168 - Nursing home name
- AHVA CARE OF STICKNEY
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Ahva Southwest Holdco, LLC |
5% Or Greater Direct Ownership Interest | Dec 2, 2020 | 100% |
| Elana Baver |
5% Or Greater Indirect Ownership Interest | Dec 2, 2020 | 79.69% |
| Corporate Officer |
Jun 17, 2021 | 100% | |
| Operational/Managerial Control | Nov 18, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220110000189 | IL | Part a Provider - Skilled Nursing Facility | 0648662361 | Practice locations: Stickney, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
3900 Oak Park Ave
Stickney, IL 60402-4168
Mailing address
7836 Frontage Rd
Skokie, IL 60077-2637
Phone (847) 674-2800
Other providers in Stickney, IL
All providers in Stickney, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.