Healthcare Provider Details

I. General information

NPI: 1043987977
Provider Name (Legal Business Name): AHVA CARE OF WINFIELD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28W141 LIBERTY ST
WINFIELD IL
60190-1953
US

IV. Provider business mailing address

7836 FRONTAGE RD
SKOKIE IL
60077-2637
US

V. Phone/Fax

Practice location:
  • Phone: 847-674-2800
  • Fax:
Mailing address:
  • Phone: 847-674-2800
  • Fax: 847-674-4133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA SIMONS
Title or Position: DIRECTOR OF BILLING
Credential: MA
Phone: 773-332-3526