NPIMap

Organization Active NPI

Piggott Healthcare & Senior Living, LLC

  • Skilled Nursing Facility
  • Piggott, AR
National Provider Identifier
1255035853
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PIGGOTT HEALTHCARE & SENIOR LIVING, LLC
Practice address
450 S 9TH Ave
Piggott, AR 72454-2501
Phone
(870) 598-2291
NPI assigned
Mar 28, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Shimon Webster
Title
Authorized Official
Phone
(773) 945-1107

Specialties & licenses 1

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

Addresses

Primary practice location

450 S 9TH Ave
Piggott, AR 72454-2501

Mailing address

8131 Monticello Ave
Skokie, IL 60076-3325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230822003985 AR Part A Provider - Skilled Nursing Facility 7719340835 Practice locations: Piggott, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255035853. Details of each certification follow.

Skilled nursing facility certification: CCN 045178

Legal name
PIGGOTT HEALTHCARE & SENIOR LIVING, LLC
Doing business as
PIGGOTT HEALTHCARE & SENIOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1991
Last certification
Jun 26, 2024
Beds
105
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Lincoln Healthcare Group
Organization structure
LLCProprietary
Enrollment address
450 S 9TH Ave
Piggott, AR 72454-2501
Nursing home name
PIGGOTT HEALTHCARE & SENIOR LIVING, LLC
Affiliated entity
POINTE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Piggott Healthcare & Senior Living, LLCCCN 045178 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10532.0 residents per day on average
Chain
Pointe Management12 facilities in the chain
Penalties (3 years)
1Fines totaling $12,649

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

450 S 9th Ave
Piggott, AR 72454
Phone (870) 598-2291

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
Nancy Holmes Individual W-2 Managing EmployeeFacility Administrator Apr 1, 2023
Shimon Webster Individual 5% Or Greater Direct Ownership Interest Apr 1, 2023 15%
Operational/Managerial Control Apr 1, 2023
Michael Mermelstein Individual 5% Or Greater Direct Ownership Interest Apr 1, 2023 20%
Aharon Weiss Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 20%
Yeruchom Levovitz Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 15%
Operational/Managerial Control Apr 1, 2023
Pointe Management LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Apr 1, 2023
Avrohom Ribiat Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 20%
Lincoln HCG LLC Organization, Lakewood, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2023 20%
Kevin Chankin Individual 5% Or Greater Direct Ownership Interest Apr 1, 2023 6.67%
Stonewall HCG LLC Organization, Lakewood, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2023 20%
S & C Holdings Illinois LLC Organization, Skokie, IL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2023 30%

Facilities with the same owner 11

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

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": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1255035853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 MONTICELLO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S 9TH AVE",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724542501",
            "telephone_number": "870-598-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGOTT HEALTHCARE & SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "773-945-1107"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piggott, AR

Sources for this page

Verify at the official NPI Registry.