NPIMap

Organization Active NPI

Mercy Circle

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1821439738
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MERCY CIRCLE
Practice address
3659 W. 99TH Street
Chicago, IL 60655
Phone
(773) 253-3600
Fax
(773) 253-3700
NPI assigned
Jul 9, 2013
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Mary F. Von Goeben
Title
Executive Director
Phone
(773) 617-1447

Specialties & licenses 1

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

Addresses

Primary practice location

3659 W. 99TH Street
Chicago, IL 60655

Mailing address

3659 W 99TH Street
Chicago, IL 60655
Phone (773) 253-3600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140825000744 IL Part A Provider - Skilled Nursing Facility 3971721531 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821439738. Details of each certification follow.

Skilled nursing facility certification: CCN 146174

Legal name
MERCY CIRCLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 10, 2015
Last certification
Feb 6, 2025
Beds
23
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Jun 27, 2008 in IL
Enrollment address
3659 W 99TH St
Chicago, IL 60655-3128
Nursing home name
MERCY CIRCLE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mercy CircleCCN 146174 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jan 10, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2322.5 residents per day on average

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
14D2074250Mercy Circle3659 W 99TH St, Chicago, IL 60655Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Sisters of Mercy of the Americas, Inc Organization, Silver Spring, MD Corporation, Non-profit 5% Or Greater Security Interest Jun 1, 2022 10%
Frances Lachowicz Individual Corporate DirectorBoard Member Mar 17, 2015
Operational/Managerial Control Mar 17, 2025
Adp of the SNF Mar 17, 2025
Trinity Continuing Care Services Organization, Livonia, MI Non-profit Operational/Managerial Control Sep 1, 2013 100%
Adp of the SNF Jul 15, 2025
Carolyn Agnes Sheehan Individual Corporate DirectorBoard Member Jul 1, 2023
Organization, Woonsocket, RI LLC, Medical provider/supplier, For-profit Adp of the SNF Jul 3, 2025
Organization, Omaha, NE Corporation, Non-profit Adp of the SNF Dec 29, 2010
Individual Adp of the SNF Jul 1, 2022
Carolyn Paler-Dominguez Individual Adp of the SNF Oct 20, 2025
Delores Jean Cypser Individual Corporate DirectorBoard Member Jul 1, 2018
Organization, Silver Spring, MD Non-profit Adp of the SNF Jul 11, 2025
Ginny L Hendricks Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Organization, Kansas City, MO Medical provider/supplier, Medical staffing company Adp of the SNF Jul 15, 2025
Anna Marie Flanagan Individual Corporate DirectorBoard Member Jul 1, 2018
Nancy Houlihan Individual Corporate OfficerBoard Secretary Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2025
Margaret Cecilia Johnson Individual Corporate DirectorBoard Member Jul 1, 2017
Eileen Knightly Individual Corporate DirectorBoard Member Jul 1, 2025
Kevin Peter Connelly Individual Corporate OfficerBoard Treasurer Mar 1, 2017
Corporate DirectorBoard Member Mar 1, 2017
Trinity Senior Services Management Organization, Livonia, MI Corporation, Management services company, For-profit Operational/Managerial Control Sep 1, 2025
Adp of the SNF Jul 2, 2025
John R. Walton Individual Corporate DirectorBoard Member Jul 1, 2025
Darlene Ann O'Callaghan Individual Corporate OfficerBoard Vice Chair Jul 1, 2023
Corporate DirectorBoard Member Nov 1, 2019
Organization, Glenview, IL LLC, Medical staffing company, Consulting firm, For-profit Adp of the SNF Jul 3, 2025
Individual Adp of the SNF Jan 3, 2022
John Barrett Individual Corporate OfficerBoard Chair Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2023
Organization, Charlotte, NC Corporation Adp of the SNF Jul 3, 2025
Individual Adp of the SNF Aug 21, 2017

Owners & managing parties with NPI records 4

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

Facilities with the same owner 11

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": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1821439738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 W 99TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60655",
            "telephone_number": "773-253-3600",
            "fax_number": "773-253-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 W. 99TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60655",
            "telephone_number": "773-253-3600",
            "fax_number": "773-253-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CIRCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "VON GOEBEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-617-1447"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.