NPIMap

Organization Active NPI

Staunton Health and Rehab Center LLC

  • Skilled Nursing Facility
  • Staunton, IL
National Provider Identifier
1427748375
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STAUNTON HEALTH AND REHAB CENTER LLC
Practice address
215 W Pennsylvania St
Staunton, IL 62088-1127
Phone
(618) 635-5577
NPI assigned
May 12, 2023
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Shully Lichtman
Title
Manager of the Manager
Phone
(618) 635-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

215 W Pennsylvania St
Staunton, IL 62088-1127

Mailing address

575 Route 70
Brick, NJ 08723-4042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230802002073 IL Part A Provider - Skilled Nursing Facility 1052772399 Practice locations: Staunton, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427748375. Details of each certification follow.

Skilled nursing facility certification: CCN 145286

Legal name
STAUNTON HEALTH AND REHAB CENTER LLC
Doing business as
STAUNTON HEALTH AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1975
Last certification
Apr 17, 2025
Beds
90
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jul 1, 2023
Organization structure
LLCProprietary
Enrollment address
215 W Pennsylvania St
Staunton, IL 62088-1127
Nursing home name
STAUNTON HEALTH AND REHAB CTR
Affiliated entity
SUMMIT HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Staunton Health and Rehab CtrCCN 145286 · 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
For profit - Corporation
Certified
May 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9058.1 residents per day on average
Chain
Summit Healthcare Consulting9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Staunton Health and Rehab Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Shalom Lichtman Individual Corporate OfficerManager of Government Enrollment Jul 1, 2023
Operational/Managerial ControlManager of the Manager Jul 1, 2023
Light Man LLC Organization, Chicago, IL LLC, For-profit Operational/Managerial Control Jul 1, 2023
Apogee TR Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 1, 2023 20%
SC Illinois Holdco LLC Organization, Brick, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Laurie Lawson Individual W-2 Managing EmployeeFacility Administrator Jul 1, 2023
SC Illinois I TBD Holdco LLC Organization, Brick, NJ LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 100%

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1427748375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W PENNSYLVANIA ST",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620881127",
            "telephone_number": "618-635-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAUNTON HEALTH AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "LICHTMAN",
        "authorized_official_first_name": "SHULLY",
        "authorized_official_title_or_position": "MANAGER OF THE MANAGER",
        "authorized_official_telephone_number": "618-635-5577"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, IL

Sources for this page

Verify at the official NPI Registry.