Organization Active NPI

Ahva Care of Stickney, LLC

  • Skilled Nursing Facility
  • Stickney, IL
National Provider Identifier
1659967693
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 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
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Cassandra Simons, MA
Title
Director of Billing
Phone
(773) 332-3526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220110000189 IL Part A Provider - Skilled Nursing Facility 0648662361 Practice locations: Stickney, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659967693. Details of each certification follow.

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
LLCProprietary
Incorporated
Dec 2, 2020 in IL
Enrollment address
3900 South Oak Park Ave
Stickney, IL 60402-4168
Nursing home name
AHVA CARE OF STICKNEY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ahva Care of StickneyCCN 146078 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
5136.5 residents per day on average
Penalties (3 years)
1Fines totaling $41,250

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
14D2079246Ahva Care of Stickney3900 S Oak Park Ave, Stickney, IL 60402Certificate of waiverAug 17, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Ahva Southwest Holdco, LLC Organization, Skokie, IL LLC 5% Or Greater Direct Ownership Interest Dec 2, 2020 100%
Elana Baver Individual 5% Or Greater Indirect Ownership Interest Dec 2, 2020 79.69%
Corporate OfficerCeo and Manager Jun 17, 2021 100%
Operational/Managerial Control Nov 18, 2024

Facilities with the same owner 1

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

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": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1659967693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 FRONTAGE RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772637",
            "telephone_number": "847-674-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 OAK PARK AVE",
            "city": "STICKNEY",
            "state": "IL",
            "postal_code": "604024168",
            "telephone_number": "773-575-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHVA CARE OF STICKNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "773-332-3526",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stickney, IL

Sources for this page

Verify at the official NPI Registry.