Barry Healthcare and Senior Living LLC
Organization Active NPI Skilled Nursing Facility · Barry, IL
NPI 1558075630 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1558075630
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 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
- Organization subpart
- No
Authorized official
- Name
- Kevin Chankin
- Title
- Member
- Phone
- (217) 335-5326
Facilities with the same owner 11
Affiliated clinicians 1
-
Korhan B Raif, MD
Medicare Care Compare: Nursing home
- Listed as
- Barry Healthcare & Sr Living
- 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
- Active
- Certified beds
- 76 · 58.6 residents per day on average
- Chain
- Pointe Management
- Penalties (3 years)
- 4 · fines totaling $71,275
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0880653 | Barry Healthcare & Senior Living, LLC | Certificate of waiver | Dec 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
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
- LLC · Proprietary
- Enrollment address
- 1313 Pratt St
Barry, IL 62312-1365 - Nursing home name
- BARRY HEALTHCARE & SR LIVING
- Affiliated entity
- POINTE MANAGEMENT
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Shimon Webster |
5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 15% |
| Michael Mermelstein |
5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 20% |
| Candira French |
W-2 Managing Employee |
Feb 1, 2023 | |
| Aharon Weiss |
5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 20% |
| Yeruchom Levovitz |
5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 15% |
| Pointe Management LLC |
Operational/Managerial Control | Feb 1, 2023 | |
| Stonewall HCG LLC |
5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 20% |
| Avrohom Ribiat |
5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 20% |
| Lincoln HCG LLC |
5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 20% |
| Kevin Chankin |
5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 6.67% |
| S & C Holdings Illinois LLC |
5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 30% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230420000453 | IL | Part a Provider - Skilled Nursing Facility | 4688039993 | Practice locations: Barry, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1313 Pratt St
Barry, IL 62312-1365
Mailing address
8131 Monticello Ave
Skokie, IL 60076-3325
Phone (773) 945-1107
Other providers in Barry, IL
- Sally E Artz
- Barry Comm Unit School Dist 1
- Barry Community Care Center, Inc
- Barry Dental Care PLCC
- Barry Dental Clinic
- Dianna Michelle Castleberry
- Alyssa Garde
- Kristie Ann Haubrich
- Ruth A Holman
- Impact Medical Transport
All providers in Barry, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.