NPIMap

Organization Active NPI

Ffii Carillon SNF Tenant LLC

Doing business as Hearthwood SNF Senior Living

  • Skilled Nursing Facility
  • Bartlett, IL
National Provider Identifier
1003638222
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FFII CARILLON SNF TENANT LLC
Doing business as
Hearthwood SNF Senior Living
Practice address
829 Carillon Dr
Bartlett, IL 60103-5300
Phone
(630) 372-1983
NPI assigned
Oct 29, 2024
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Curt Schaller
Title
Local Security Officer Authofficial
Phone
(312) 286-1241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

829 Carillon Dr
Bartlett, IL 60103-5300

Mailing address

200 W Madison St Ste 2650
Chicago, IL 60606-3497
Phone (312) 533-2727

Other names 1

  • Hearthwood SNF Senior Living Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250214000066 IL Part A Provider - Skilled Nursing Facility 0547790909 Practice locations: Bartlett, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003638222. Details of each certification follow.

Skilled nursing facility certification: CCN 146125

Legal name
FFII CARILLON SNF TENANT LLC
Doing business as
HEARTHWOOD SNF SENIOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 10, 2008
Last certification
Feb 21, 2025
Beds
120 (60 certified)
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
829 Carillon Dr
Bartlett, IL 60103-5300
Nursing home name
HEARTHWOOD SNF SENIOR LIVING
Affiliated entity
LIFE CARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hearthwood SNF Senior LivingCCN 146125 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 10, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6052.6 residents per day on average
Chain
Life Care Services43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1073836Ffii Carillon SNF Tenant LLC829 Carillon Drive, Bartlett, IL 60103Certificate of waiverSep 17, 2027

National Provider Directory

National Provider Directory

Locations

200 W Madison St
Ste 2650
Chicago, IL 60606

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
FSHF II Co-Investment C LP Organization, Chicago, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 6.7%
Curt Schaller Individual Corporate DirectorTrustee Dec 13, 2024
Commonfund Real Estate and Infrastructure Opportunity Fund III LP Organization, Wilton, CT Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 6.7%
Individual Adp of the SNF Jan 9, 2025
The State of Ohio, Ohio Bureau of Workers' Compensation Organization, Columbus, OH For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 7.39%
Ffii Carillon Owner LLC Organization, Chicago, IL Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Dec 13, 2024 100%
Adp of the SNF Dec 27, 2024
John Richard Born Individual Operational/Managerial Control Dec 13, 2024
Managing Control - Governing BodyMedical Director Dec 13, 2024
Adp of the SNF Apr 8, 2026
Focus SH II Reit Organization, Chicago, IL For-profit, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 54.6%
Organization, North Bend, WA LLC, For-profit Adp of the SNF Jan 7, 2025
Focus Senior Housing Fund II LP Organization, Chicago, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 54.6%
Organization, Wheeling, IL LLC, For-profit Adp of the SNF Jan 7, 2025
Paul Froning Individual Corporate DirectorTrustee Dec 13, 2024
Life Care Services LLC Organization, Des Moines, IA LLC, Management services company, For-profit Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 2, 2025
Focus SH II Holdings III LLC Organization, Chicago, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 54.6%
Alfred I Dupont Charitable Trust Organization, Jacksonville, FL Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 18.66%
Allstate Insurance Company Organization, Northbrook, IL Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 33.73%
Focus SH II TRS III LLC Organization, Chicago, IL LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 100%
Merit Medicaid Consultant LLC Organization, Plainfield, IL LLC, For-profit Operational/Managerial Control Dec 31, 2024
Adp of the SNF Jan 24, 2025
Angel Aguilar Individual Operational/Managerial Control Dec 13, 2024
Managing Control - Governing BodySNF Administrator Dec 13, 2024
Adp of the SNF Jan 27, 2025
Focus SH II R Carillon LLC Organization, Chicago, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 100%
Hancock Whitney Bank Organization, Gulfport, MS Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest May 23, 2025 100%
Ffii Carillon Holding LLC Organization, Chicago, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 100%
Individual Adp of the SNF Dec 13, 2024
FSHF II Co-Investment B LP Organization, Chicago, IL For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 38.7%

Owners & managing parties with NPI records 1

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

  • John R Born, DO
    • Family Medicine Physician
    • Wheaton, IL
    • NPI 1225063357

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 61

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

View all 61

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1003638222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MADISON ST STE 2650",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063497",
            "telephone_number": "312-533-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 CARILLON DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601035300",
            "telephone_number": "630-372-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FFII CARILLON SNF TENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "SCHALLER",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "LOCAL SECURITY OFFICER AUTHOFFICIAL",
        "authorized_official_telephone_number": "312-286-1241"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearthwood SNF Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, IL

Sources for this page

Verify at the official NPI Registry.