NPIMap

Organization Active NPI

Hallmark Healthcare of Carlinville LLC

  • Skilled Nursing Facility
  • Carlinville, IL
National Provider Identifier
1184278301
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HALLMARK HEALTHCARE OF CARLINVILLE LLC
Practice address
826 N High St
Carlinville, IL 62626-1165
Phone
(217) 854-9606
NPI assigned
Jul 25, 2019
Last updated
Apr 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Shalom Lichtman
Title
Medicare Authorized Official
Phone
(217) 854-9606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

826 N High St
Carlinville, IL 62626-1165

Mailing address

229 Route 70 Ste 100
Toms River, NJ 08755-1026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190918001864 IL Part A Provider - Skilled Nursing Facility 2264762228 Practice locations: Carlinville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184278301. Details of each certification follow.

Skilled nursing facility certification: CCN 145769

Legal name
HALLMARK HEALTHCARE OF CARLINVILLE LLC
Doing business as
HALLMARK HEALTHCARE OF CARLINVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 20, 1994
Last certification
Feb 26, 2025
Beds
49
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Sep 1, 2019
Organization structure
LLCProprietary
Enrollment address
826 N Hight St
Carlinville, IL 62626-1165
Nursing home name
HALLMARK HC OF CARLINVILLE
Affiliated entity
CREST HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hallmark HC of CarlinvilleCCN 145769 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - City
Certified
Jan 20, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4940.0 residents per day on average
Chain
Crest Healthcare Consulting11 facilities in the chain
Penalties (3 years)
2Fines totaling $25,493

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Hallmark Healthcare of Carlinville LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

826 N High St
Carlinville, IL 62626
Phone (217) 854-9606

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Tonya Alicea Individual W-2 Managing EmployeeAdministrator Sep 1, 2019
Crest Illinois Holdco LLC Organization, Lakewood, NJ Holding company 5% Or Greater Direct Ownership Interest Sep 1, 2019 100%
Mrs Family Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 1, 2019 19.31%
Shalom Lichtman Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2019 20%
Corporate OfficerManager Sep 1, 2019
Meir Singer Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2019 1.02%
Corporate OfficerPresident Sep 1, 2019
Yisrael Friedman Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2019 1.02%
Corporate OfficerPresident Sep 1, 2019
Mdatas Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 1, 2019 19.31%
Eric N Clark Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2019 10%
Fejcc Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 1, 2019 19.31%
Capital Finance LLC Organization, Baltimore, MD Financial institution 5% Or Greater Security Interest Sep 1, 2019
Moshe Weintraub Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2019 7%

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1184278301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 ROUTE 70 STE 100",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N HIGH ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261165",
            "telephone_number": "217-854-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK HEALTHCARE OF CARLINVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "LICHTMAN",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "217-854-9606"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlinville, IL

Sources for this page

Verify at the official NPI Registry.