NPIMap

Organization Active NPI

Westminster Place

  • Skilled Nursing Facility
  • Evanston, IL
National Provider Identifier
1750351425
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0012930 Issued in IL
Legal business name
WESTMINSTER PLACE
Practice address
3200 Grant St
Evanston, IL 60201-1903
Phone
(847) 492-4871
Fax
(847) 570-3426
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Mark E. Havrilka
Title
Chief Financial Officer
Phone
(847) 979-3904

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X
Assisted Living Facility 310400000X 0012930 IL
Skilled Nursing Facility 314000000X 0012930 IL Primary

Addresses

Primary practice location

3200 Grant St
Evanston, IL 60201-1903

Mailing address

8707 Skokie Blvd Ste 400
Skokie, IL 60077-2283
Phone (847) 979-3955

Other identifiers 1

IdentifierTypeStateIssuer
2100 1633224OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090826000156 IL Part A Provider - Skilled Nursing Facility 4486602018 Practice locations: Evanston, IL

Skilled nursing facility certification: CCN 145026

Legal name
WESTMINSTER PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 3, 1967
Last certification
Oct 18, 2024
Beds
255 (105 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 21, 1904 in IL
Enrollment address
3200 Grant St
Evanston, IL 60201-1903
Nursing home name
WESTMINSTER PLACE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westminster PlaceCCN 145026 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 3, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10576.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Homes4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8707 Skokie Blvd
Ste 400
Skokie, IL 60077

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Elizabeth Nichols Individual Corporate DirectorBoard of Directors Apr 1, 2014 5%
Donald C Clark Individual Corporate DirectorBoard of Directors Apr 1, 2017 5%
Presbyterian Homes Outpatient Rehabilitation Agency, LLC Organization, Evanston, IL LLC, Non-profit Other Dec 1, 2015
Jane Western Individual Corporate DirectorBoard of Directors Apr 1, 2014 5%
Charles G Denison Individual Corporate DirectorBoard of Directors Apr 1, 2014 5%
Todd F Swortzel Individual Corporate OfficerChief Executive Officer Jan 1, 2011 10%
Operational/Managerial ControlCeo Dec 1, 2015
Monica Heenan Individual Corporate DirectorBoard of Directors Nov 1, 2015 5%
Elinor Hite Individual Corporate DirectorBoard of Directors Aug 1, 2017 5%
Andrew E Reese-Clausen Individual W-2 Managing EmployeeExecutive Director Nov 13, 2017
Vincent K Kelly Individual Corporate DirectorBoard of Directors Mar 1, 2017 5%
Presbyterian Homes Organization, Skokie, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2015 100%
Neele E Stearns Individual Corporate DirectorBoard of Directors Apr 1, 2018 5%
Ann M. Caughron Individual W-2 Managing EmployeeDirector of Nursing Oct 7, 2004
Michael D Kirby Individual Corporate DirectorBoard of Directors Mar 1, 2016 5%
William Casper Individual W-2 Managing EmployeeHealthcare Administrator May 28, 2018
Paula M Noble Individual Corporate DirectorBoard of Directors Apr 1, 2015 5%
Gregory W Hummel Individual Corporate DirectorBoard of Directors Apr 1, 2018 5%
Daniel Cirock Individual W-2 Managing Employee Jan 1, 2009
Thomas J McAfee Individual Corporate DirectorBoard of Directors Apr 1, 2019 5%
Presbyterian Homes Manager LLC Organization, Skokie, IL LLC, Non-profit Operational/Managerial Control Dec 1, 2015
David R Donnersberger Individual Corporate DirectorBoard of Directors Apr 1, 2019 5%
Mark E Havrilka Individual Corporate OfficerCfo Dec 1, 2015
Gina L Myers Individual W-2 Managing EmployeeCorporate Billing Manager Apr 16, 2018
Geneva Foundation of Presbyterian Homes Organization, Skokie, IL Non-profit Other Apr 1, 2003
Dennie Marx Individual Corporate DirectorBoard of Directors Sep 1, 2014 5%
Terri Brady Individual Corporate DirectorBoard of Directors Apr 1, 2019 5%
Nadim M Abi-Antoun Individual Corporate OfficerCoo Dec 1, 2015

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1750351425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD STE 400",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772283",
            "telephone_number": "847-979-3955",
            "fax_number": "847-979-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GRANT ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011903",
            "telephone_number": "847-492-4871",
            "fax_number": "847-570-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "HAVRILKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-979-3904"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "0012930",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0012930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2100 1633224",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.