NPIMap

Organization Active NPI

California Terrace SNF LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1790474567
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CALIFORNIA TERRACE SNF LLC
Practice address
2829 S California Ave
Chicago, IL 60608-5106
Phone
(773) 847-8061
NPI assigned
May 5, 2023
Last updated
May 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Aharon Singer
Title
Manager
Phone
(773) 847-8061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2829 S California Ave
Chicago, IL 60608-5106

Mailing address

3531 Howard St Ste 1006
Skokie, IL 60076-4056

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231016002698 IL Part A Provider - Skilled Nursing Facility 0244685931 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790474567. Details of each certification follow.

Skilled nursing facility certification: CCN 145625

Legal name
CALIFORNIA TERRACE SNF LLC
Doing business as
CALIFORNIA TERRACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 9, 1989
Last certification
Oct 9, 2024
Beds
297
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
2829 S California Ave
Chicago, IL 60608-5106
Nursing home name
CALIFORNIA TERRACE
Affiliated entity
SABA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
California TerraceCCN 145625 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 9, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
297250.0 residents per day on average
Chain
Saba Healthcare11 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
5Fines totaling $363,575

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

3531 Howard St
Ste 1006
Skokie, IL 60076

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Tzvi Singer Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2023 10%
Wissati Irrevocable Trust Organization, Evanston, IL 5% Or Greater Direct Ownership Interest Jun 1, 2023 25%
Aharon Singer Individual 5% Or Greater Direct Ownership Interest Jun 1, 2023 27.5%
Corporate OfficerManager Jun 1, 2023
MTJ Holdings LLC Organization, Skokie, IL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2023 20%
Terra Tarjan Individual W-2 Managing EmployeeFacility Administrator Jun 1, 2023
Moshe Blonder Individual 5% Or Greater Direct Ownership Interest Jun 1, 2023 27.5%
Mayer R Cohen Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2023 10%

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1790474567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 HOWARD ST STE 1006",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085106",
            "telephone_number": "773-847-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA TERRACE SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "AHARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-847-8061"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.