Citadel Care Center-Elgin, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CITADEL CARE CENTER-ELGIN, LLC

Practice address

180 S State St
Elgin, IL 60123-6429

Phone

(847) 742-3310

Fax

(847) 742-0924

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jonathon Aaron

Title

Manager

Phone

(224) 470-2044

Specialties & licenses 1

Addresses

Other names 1

• Citadel Care Center-Elgin Doing business as

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1831567015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 CHASE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764008",
            "telephone_number": "224-470-2044",
            "fax_number": "224-470-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S STATE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236429",
            "telephone_number": "847-742-3310",
            "fax_number": "847-742-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL CARE CENTER-ELGIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-470-2044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citadel Care Center-Elgin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citadel Care Center-Elgin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jase Kaui Chun
• Young Chung, MD
• Brittany Nicole Cichon
• Aleksandra Ciezak
• Cindy R Rauschenberger DDS Ms LTD
• City of Elgin
• Clarity of Mind Counseling, Inc.
• Clarity, Calm & Peace Behavioral Health Services, Inc.
• Kimberly Nicole Clark, MMS, PA-C
• Jasmoniqua Cleveland

• Skilled Nursing Facility in Elgin, IL
• Providers in Elgin, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.