NPIMap

Organization Active NPI

Barry Healthcare and Senior Living LLC

  • Skilled Nursing Facility
  • Barry, IL
National Provider Identifier
1558075630
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BARRY HEALTHCARE AND SENIOR LIVING LLC
Practice address
1313 Pratt St
Barry, IL 62312-1365
Phone
(217) 335-2326
NPI assigned
Jan 12, 2023
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Kevin Chankin
Title
Member
Phone
(217) 335-5326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1313 Pratt St
Barry, IL 62312-1365

Mailing address

8131 Monticello Ave
Skokie, IL 60076-3325
Phone (773) 945-1107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230420000453 IL Part A Provider - Skilled Nursing Facility 4688039993 Practice locations: Barry, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558075630. Details of each certification follow.

Skilled nursing facility certification: CCN 146051

Legal name
BARRY HEALTHCARE AND SENIOR LIVING LLC
Doing business as
BARRY HEALTHCARE AND SENIOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 2003
Last certification
Dec 12, 2023
Beds
76
Ownership / control type
Corporation
Multi-facility organization
Lincoln Healthcare Group
Organization structure
LLCProprietary
Enrollment address
1313 Pratt St
Barry, IL 62312-1365
Nursing home name
BARRY HEALTHCARE & SR LIVING
Affiliated entity
POINTE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Barry Healthcare & Sr LivingCCN 146051 · All quality measures
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7658.6 residents per day on average
Chain
Pointe Management12 facilities in the chain
Penalties (3 years)
4Fines totaling $71,275

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
14D0880653Barry Healthcare & Senior Living, LLC1313 Pratt St, Barry, IL 62312Certificate of waiverDec 16, 2027

National Provider Directory

National Provider Directory

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
Shimon Webster Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
Michael Mermelstein Individual 5% Or Greater Direct Ownership Interest Feb 1, 2023 20%
Candira French Individual W-2 Managing EmployeeAdministrator Feb 1, 2023
Aharon Weiss Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 20%
Yeruchom Levovitz Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
Pointe Management LLC Organization, Skokie, IL LLC, For-profit Operational/Managerial Control Feb 1, 2023
Stonewall HCG LLC Organization, Lakewood, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2023 20%
Avrohom Ribiat Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 20%
Lincoln HCG LLC Organization, Lakewood, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2023 20%
Kevin Chankin Individual 5% Or Greater Direct Ownership Interest Feb 1, 2023 6.67%
S & C Holdings Illinois LLC Organization, Skokie, IL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Feb 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 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": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1558075630",
    "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",
            "telephone_number": "773-945-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 PRATT ST",
            "city": "BARRY",
            "state": "IL",
            "postal_code": "623121365",
            "telephone_number": "217-335-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY HEALTHCARE AND SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "CHANKIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "217-335-5326"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barry, IL

Sources for this page

Verify at the official NPI Registry.