NPIMap

Organization Active NPI

Windsor Park Manor

Doing business as Covenant Living at Windsor Park

  • Skilled Nursing Facility
  • Carol Stream, IL
National Provider Identifier
1831281914
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0034652 Issued in IL
Legal business name
WINDSOR PARK MANOR
Doing business as
Covenant Living at Windsor Park
Practice address
110 Windsor Park Dr
Carol Stream, IL 60188-1986
Phone
(630) 510-5500
Fax
(630) 682-0946
NPI assigned
Sep 28, 2006
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Elizabeth Malzahn
Title
Vice President of Health Services
Phone
(773) 878-4430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0034652 IL Primary

Addresses

Primary practice location

110 Windsor Park Dr
Carol Stream, IL 60188-1986

Mailing address

124 Windsor Park Dr
Carol Stream, IL 60188-1986
Phone (630) 510-5500

Other names 1

  • Covenant Living at Windsor Park Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000490 IL Part A Provider - Skilled Nursing Facility 9537237128 Practice locations: Carol Stream, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831281914. Details of each certification follow.

Skilled nursing facility certification: CCN 145606

Legal name
WINDSOR PARK MANOR
Doing business as
COVENANT LIVING AT WINDSOR PARK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 3, 1989
Last certification
Feb 28, 2025
Beds
80
Ownership / control type
Church Related
Multi-facility organization
Covenant Living
Organization structure
CorporationNon-profit
Incorporated
Mar 13, 1985 in IL
Enrollment address
110 Windsor Park Dr
Carol Stream, IL 60188-1986
Nursing home name
COVENANT LIVING - WINDSOR PARK
Affiliated entity
COVENANT LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Covenant Living - Windsor ParkCCN 145606 · 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
Mar 3, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8066.9 residents per day on average
Chain
Covenant Living15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Cory Kalheim Individual Corporate OfficerAsst Secretary Jul 1, 2024
Janet G Hoffman Individual Corporate DirectorVice Chair Jul 1, 2023
Sanja Milidrag Individual Operational/Managerial Control Jul 23, 2021
Organization, Knoxville, TN Medical provider/supplier Adp of the SNF Nov 24, 2025
Covenant Living Communities & Services Organization, Skokie, IL Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Mar 13, 1985 100%
Adp of the SNF Mar 13, 1985
Abbie Little Individual Operational/Managerial Control Aug 11, 2023
Adp of the SNF Nov 11, 2025
David Erickson Individual Corporate OfficerPresident and Ceo Jun 1, 2024
Shelly R Smith Individual Operational/Managerial Control Jan 18, 2021
Janet S Creaney Individual Corporate DirectorBoard Chair Aug 1, 2023
The Evangelical Covenant Church of America Organization, Chicago, IL Non-profit 5% Or Greater Indirect Ownership Interest Mar 13, 1985 100%
Jeannie Justie Individual Corporate OfficerCfo Sep 21, 2020
Covenant Ministries of Benevolence Organization, Chicago, IL Non-profit 5% Or Greater Indirect Ownership Interest Mar 13, 1985 100%
Jennifer Means Individual Corporate DirectorSecretary Jul 1, 2025
Emily Warnygora Individual Corporate DirectorAsst. Secretary Jul 1, 2021
Anthony J Pipitone Individual Operational/Managerial Control Nov 14, 2014
Adp of the SNF Nov 24, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 16

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

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1831281914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WINDSOR PARK DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881986",
            "telephone_number": "630-510-5500",
            "fax_number": "630-682-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WINDSOR PARK DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881986",
            "telephone_number": "630-510-5500",
            "fax_number": "630-682-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR PARK MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "MALZAHN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF HEALTH SERVICES",
        "authorized_official_telephone_number": "773-878-4430"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0034652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Living at Windsor Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.