NPIMap

Organization Active NPI

Calhoun Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Hardin, IL
National Provider Identifier
1033285994
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0046888 Issued in IL
Legal business name
CALHOUN NURSING AND REHABILITATION CENTER, LLC
Practice address
1 Myrtle Lane
Hardin, IL 62047
Phone
(618) 576-2278
Fax
(618) 576-2487
NPI assigned
Nov 24, 2006
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Mr. Norbert A Bennett
Title
Co-Chief Executive Officer
Phone
(716) 662-4955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0046888 IL Primary

Addresses

Primary practice location

1 Myrtle Lane
Hardin, IL 62047

Mailing address

PO Box 428
Orchard Park, NY 14127-0428
Phone (716) 662-4955

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ENDPOINT Other The White Stone Group d/b/a Vyne Medical

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050202000545 IL Part A Provider - Skilled Nursing Facility 8426009945 Practice locations: Hardin, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033285994. Details of each certification follow.

Skilled nursing facility certification: CCN 145910

Legal name
CALHOUN NURSING AND REHABILITATION CENTER, LLC
Doing business as
CALHOUN NURSING AND REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 26, 1996
Last certification
Jul 19, 2024
Beds
80
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Dec 31, 2004
Organization structure
LLCProprietary
Incorporated
Oct 1, 2004 in IL
Enrollment address
1 Myrtle
Hardin, IL 62047-1002

Care Compare: Nursing home

Medicare Care Compare
Listed as
Evercare of CalhounCCN 145910 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 26, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8058.9 residents per day on average
Penalties (3 years)
1Fines totaling $25,740

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1 Myrtle
Hardin, IL 62047
Phone (618) 576-2278

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Lori McKinnon Individual W-2 Managing EmployeeExecutive Director Sep 7, 2021 100%
Donad T Denz Irrv TR Organization, Buffalo, NY LLC 5% Or Greater Indirect Ownership Interest May 23, 2008 6%
Norbert a Bennett Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2004 32.45%
Donald T Denz Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2004 44%
Norbert a Bennett Irrv TR Fbo Grandchildren Organization, Holland, NY LLC 5% Or Greater Indirect Ownership Interest May 23, 2008 17.55%
Norbert a Bennett Irrv TR Fbo Children Organization, Holland, NY LLC 5% Or Greater Indirect Ownership Interest May 23, 2008 17.55%
Renee Klawon Individual OtherIndependent Contractor Aug 14, 2020
D&N, LLC Organization, Orcahrd Park, NY LLC 5% Or Greater Direct Ownership Interest Dec 1, 2004 50%
DTD HC LLC Organization, Orchard Park, NY LLC 5% Or Greater Direct Ownership Interest Dec 1, 2004 50%

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1033285994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141270428",
            "telephone_number": "716-662-4955",
            "fax_number": "716-667-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MYRTLE LANE",
            "city": "HARDIN",
            "state": "IL",
            "postal_code": "62047",
            "telephone_number": "618-576-2278",
            "fax_number": "618-576-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "716-662-4955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ENDPOINT",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.17.8788.1",
            "affiliationName": "The White Stone Group d/b/a Vyne Medical",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 Ashford Ctr N Ste 300",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303384863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hardin, IL

Sources for this page

Verify at the official NPI Registry.