NPIMap

Organization Active NPI

Evercare of Collinsville LLC

  • Skilled Nursing Facility
  • Collinsville, IL
National Provider Identifier
1336969823
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EVERCARE OF COLLINSVILLE LLC
Practice address
614 Summit Ave
Collinsville, IL 62234-3728
Phone
(618) 344-8476
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Yehuda Rosenblatt
Title
Authorized Official
Phone
(618) 344-8476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

614 Summit Ave
Collinsville, IL 62234-3728

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
O20250408001605 IL Part A Provider - Skilled Nursing Facility 1456875715 Practice locations: Collinsville, IL

Skilled nursing facility certification: CCN 145438

Legal name
EVERCARE OF COLLINSVILLE LLC
Doing business as
EVERCARE OF COLLINSVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1981
Last certification
Nov 14, 2024
Beds
98 (94 certified)
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Dec 1, 2024
Organization structure
LLCProprietary
Enrollment address
614 Summit Ave
Collinsville, IL 62234-3728
Nursing home name
EVERCARE OF COLLINSVILLE
Affiliated entity
EVERCARE SKILLED NURSING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Evercare of CollinsvilleCCN 145438
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9478.1 residents per day on average
Chain
Evercare Skilled Nursing8 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
5Fines totaling $333,499

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
14D0434295Evercare of Collinsville614 N Summit, Collinsville, IL 62234Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Organization, San Clemente, CA Adp of the SNF Dec 1, 2024
Yehuda Rosenblatt Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 24.5%
Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyLLC Manager Is an Entity Dec 1, 2024
Adp of the SNF Dec 1, 2024
Organization, Skokie, IL LLC Adp of the SNF Dec 1, 2024
Dovid Seitler Individual 5% Or Greater Indirect Ownership Interest11.7 Dec 1, 2024
Organization, San Clemente, CA Corporation, Real estate investment trust (REIT) Adp of the SNF Dec 1, 2024
Ecapital Healthcare Corp Organization, Aventura, FL Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
RKS Holdings LLC Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 40%
Asad Zaman Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Organization, Skokie, IL LLC, Holding company Adp of the SNF Apr 29, 2025
Individual Adp of the SNF Dec 1, 2024
Joshua Hoffman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 5%
Shmuel Weinberger Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 47.2%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Yosef Hellman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 11.7%
Eu SNF Holdings LLC Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 99.99%
Operational/Managerial Control Dec 1, 2024
Indirect Ownership Interest Dec 1, 2024 0.01%
Ashley Hults Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Lawanna Kiefer Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Dec 1, 2024 0.01%
RKS Manager LLC Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 35.5%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1336969823",
    "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": "614 SUMMIT AVE",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343728",
            "telephone_number": "618-344-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE OF COLLINSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "YEHUDA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "618-344-8476"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

Verify at the official NPI Registry.