Organization Active NPI

Evervella of Swansea LLC

  • Skilled Nursing Facility
  • Swansea, IL
National Provider Identifier
1114728847
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EVERVELLA OF SWANSEA LLC
Practice address
100 Rosewood Village Dr
Swansea, IL 62226-2301
Phone
(618) 236-1391
NPI assigned
Mar 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Shmuel Weinberger
Title
Manager
Phone
(618) 236-1391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Rosewood Village Dr
Swansea, IL 62226-2301

Mailing address

3700 Oakton St
Skokie, IL 60076-3407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250909003312 IL Part A Provider - Skilled Nursing Facility 9234632027 Practice locations: Swansea, IL

Skilled nursing facility certification: CCN 145620

Legal name
EVERVELLA OF SWANSEA LLC
Doing business as
EVERVELLA OF SWANSEA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1989
Last certification
Jul 26, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Evercare Skilled Nursing
Organization structure
LLCProprietary
Enrollment address
100 Rosewood Village Dr
Swansea, IL 62226-2301
Nursing home name
EVERVELLA OF SWANSEA
Affiliated entity
EVERCARE SKILLED NURSING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Evervella of SwanseaCCN 145620
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12090.5 residents per day on average
Chain
Evercare Skilled Nursing8 facilities in the chain
Penalties (3 years)
22Fines totaling $144,732

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
14D0872823Evervella of Swansea100 Rosewood Village Dr, Swansea, IL 62226Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Ev Swansea Realty LLC Organization, Skokie, IL Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Apr 1, 2025 100%
Adp of the SNF Apr 1, 2025
Yehuda Rosenblatt Individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 24.5%
Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Dovid Seitler Individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 10.66%
Adp of the SNF Apr 1, 2025
Evercare Financial Services LLC Organization, Skokie, IL LLC Adp of the SNF Apr 1, 2025
Christine Warcup Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Organization, Lincolnwood, IL LLC Adp of the SNF Jun 19, 2025
Organization, Chicago, IL Adp of the SNF Jun 19, 2025
Joshua Hoffman Individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 8%
Adp of the SNF Apr 1, 2025
Shmuel Weinberger Individual 5% Or Greater Direct Ownership InterestCfo Apr 1, 2025 46.18%
Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2025
Organization, Irving, TX LLC Adp of the SNF Jun 19, 2025
Yosef Hellman Individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 10.66%
Adp of the SNF Apr 1, 2025
John a Flick Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025

Owners & managing parties with NPI records 1

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

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": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1114728847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSEWOOD VILLAGE DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262301",
            "telephone_number": "618-236-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERVELLA OF SWANSEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "WEINBERGER",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-236-1391"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.