CITADEL AT SAINT ANNE PLACE LLC
NPI 1598644130
Skilled Nursing Facility in Rockford, IL

Active since August 28, 2025CLIA 14D0646748 · Waiver
4405 HIGHCREST RD, ROCKFORD, IL 61107(815) 229-1999 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Citadel At Saint Anne Place Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITADEL AT SAINT ANNE PLACE LLC (NPI 1598644130), doing business as Citadel At Saint Anne Place, is a healthcare organization registered as a skilled nursing facility in Rockford, Illinois and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Marcella Graf, Cfo, as its authorized official.

NPPES Registry Identity

NPI1598644130
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCITADEL AT SAINT ANNE PLACE LLC
Location Address4405 HIGHCREST RDRockford, IL 61107-1452
Mailing Address3701 W Lunt AveLincolnwood, IL 60712-2615 · (224) 470-2044
Organization SubpartNo
Authorized OfficialMarcella GrafCfo · (224) 470-2044
Enumeration DateAugust 28, 2025
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
NPI 1598644130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4405 HIGHCREST RD, Rockford, IL 61107

Other Names 1

Doing Business AsCitadel At Saint Anne Place

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0646748

Citadel At Saint Anne Place · Rockford, IL
Active · expires Aug 31, 2026
CLIA Number14D0646748
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrian L. Thor
Laboratory Phone(815) 229-1999
Laboratory LocationCitadel At Saint Anne Place4405 Highcrest Rd, Rockford, IL 61107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
4405 HIGHCREST RD
ROCKFORD, IL 61107
Physical Therapy Assistant
4405 HIGHCREST RD
ROCKFORD, IL 61107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Citadel At Saint Anne Place LLC's NPI number?

The NPI number for Citadel At Saint Anne Place LLC is 1598644130. It was assigned to this organization in the NPPES registry on August 28, 2025. The provider is doing business as Citadel at Saint Anne Place.

Where is Citadel At Saint Anne Place LLC located?

Citadel At Saint Anne Place LLC is located at 4405 Highcrest Rd, Rockford, IL 61107. The listed phone number is (815) 229-1999.

What is Citadel At Saint Anne Place LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Citadel At Saint Anne Place LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0646748) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Citadel At Saint Anne Place LLC was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.