CITADEL OF BOURBONNAIS LLC
NPI 1710594353
Skilled Nursing Facility in Bourbonnais, IL

Active since September 28, 2020CLIA 14D0957762 · Waiver
4/5
Overall Rating
20 BRIARCLIFF LN, BOURBONNAIS, IL 60914(815) 937-2022(815) 936-3231 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2025, Oct 21, 2020, Sep 28, 2020 (3 updates tracked since 2020).

About Citadel Of Bourbonnais Llc NPPES

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

CITADEL OF BOURBONNAIS LLC (NPI 1710594353), doing business as The Citadel Of Bourbonnais, is a healthcare organization registered as a skilled nursing facility in Bourbonnais, Illinois and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Marcella Graf, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710594353
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCITADEL OF BOURBONNAIS LLC
Location Address20 BRIARCLIFF LNBourbonnais, IL 60914-1665
Mailing Address3755 Chase AveSkokie, IL 60076-4008 · (224) 470-2044
Fax(815) 936-3231
Organization SubpartNo
Authorized OfficialMarcella GrafCfo · (224) 470-2044
Enumeration DateSeptember 28, 2020
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
NPI 1710594353 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.
20 BRIARCLIFF LN, Bourbonnais, IL 60914

Other Names 1

Doing Business AsThe Citadel Of Bourbonnais

Other Identifiers 1

Medicaid0041723IL

Accepted Insurance

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 14D0957762

Citadel Of Bourbonnais · Bourbonnais, IL
Active · expires Feb 28, 2027
CLIA Number14D0957762
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorTiffany A. Sifrit
Laboratory Phone(815) 937-2022
Laboratory LocationCitadel Of Bourbonnais20 Briarcliff Lane, Bourbonnais, IL 60914
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Citadel Of Bourbonnais,the (CMS certification number 145536), from CMS Care Compare.

Citadel Of Bourbonnais,the

Nursing home · Bourbonnais, IL
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number145536
Certified Beds107 beds90 residents per day on average
Medicare & Medicaid Participant SinceJanuary 29, 1986
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
46.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.72 · LPN 0.84 · RN 0.68
3.24 hrs per resident per day
Weekend Nurse Staffing
2.61 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
38.8%
Registered Nurse Turnover
29.4%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
5
Fines
1 totaling $5,292.37
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

Nurse Practitioner (Family)
20 BRIARCLIFF LN
BOURBONNAIS, IL 60914
Skilled Nursing Facility
20 BRIARCLIFF LN
BOURBONNAIS, IL 60914

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 Of Bourbonnais LLC's NPI number?

The NPI number for Citadel Of Bourbonnais LLC is 1710594353. It was assigned to this organization in the NPPES registry on September 28, 2020. The provider is doing business as The Citadel of Bourbonnais.

Where is Citadel Of Bourbonnais LLC located?

Citadel Of Bourbonnais LLC is located at 20 Briarcliff Ln, Bourbonnais, IL 60914. The listed phone number is (815) 937-2022.

What is Citadel Of Bourbonnais LLC's specialty?

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

Does Citadel Of Bourbonnais LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0957762) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Citadel Of Bourbonnais LLC a Medicare-certified nursing home?

Yes. Citadel Of Bourbonnais,the is a Medicare-certified nursing home with 107 certified beds.

What quality rating does Citadel Of Bourbonnais LLC have?

CMS rates Citadel Of Bourbonnais,the 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Citadel Of Bourbonnais LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Citadel Of Bourbonnais LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Citadel Of Bourbonnais LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.