Organization Active NPI

Evercare at University LLC

  • Skilled Nursing Facility
  • Edwardsville, IL
National Provider Identifier
1619716909
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EVERCARE AT UNIVERSITY LLC
Practice address
1095 University Dr
Edwardsville, IL 62025-3961
Phone
(618) 656-1081
NPI assigned
May 24, 2024
Last updated
May 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Sam Weinberger
Title
Authorized Official
Phone
(618) 656-1081

Specialties & licenses 1

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

Addresses

Primary practice location

1095 University Dr
Edwardsville, IL 62025-3961

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
O20240823001271 IL Part A Provider - Skilled Nursing Facility 1052850997 Practice locations: Edwardsville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619716909. Details of each certification follow.

Skilled nursing facility certification: CCN 145985

Legal name
EVERCARE AT UNIVERSITY LLC
Doing business as
EVERCARE AT UNIVERSITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 3, 2000
Last certification
Feb 27, 2025
Beds
122 (118 certified)
Ownership / control type
Corporation
Most recent change of ownership
Mar 1, 2018
Organization structure
LLCProprietary
Enrollment address
1095 University Dr
Edwardsville, IL 62025-3961
Nursing home name
EVERCARE AT UNIVERSITY
Affiliated entity
EVERCARE SKILLED NURSING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Evercare at UniversityCCN 145985 · All quality measures
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 - Corporation
Certified
Mar 3, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
118100.6 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)
8Fines totaling $399,548

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
14D0670051Evercare at University1095 University Dr, Edwardsville, IL 62025Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Jul 1, 2024 0.01%
Yehuda Rosenblatt Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 49%
Operational/Managerial Control Jul 1, 2024
Managing Control - Governing BodyManager of the Manager Jul 1, 2024
Adp of the SNF Jan 13, 2025
Organization, Lincolnwood, IL LLC Adp of the SNF Jul 1, 2024
Dovid Seitler Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 11.89%
Adp of the SNF Jan 13, 2025
Charles Ampadu Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
RKS Holdings LLC Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 51%
Adp of the SNF Jan 13, 2025
Joshua Hoffman Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 5.1%
Adp of the SNF Jan 13, 2025
Teresa Rixie Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Shmuel Weinberger Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 22.1%
Corporate OfficerMedicare Authorized Official Jul 1, 2024
Adp of the SNF Jan 13, 2025
Individual Adp of the SNF Jul 1, 2024
Yosef Hellman Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 11.89%
Adp of the SNF Jan 13, 2025
Organization, Skokie, IL LLC, Consulting firm Adp of the SNF Jul 1, 2024
Eu SNF Holdings LLC Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2024 99%
5% Or Greater Indirect Ownership Interest Jul 1, 2024 0.01%
Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jan 13, 2025
Ashley Hults Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Yosef Meystel Delta Trust Organization, Lincolnwood, IL Adp of the SNF Jul 1, 2024
David a Berkowitz Delta Trust Organization, Lincolnwood, IL Adp of the SNF Jul 1, 2024
RKS Manager LLC Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 10.2%
Adp of the SNF Jan 13, 2025

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 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1619716909",
    "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": "1095 UNIVERSITY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253961",
            "telephone_number": "618-656-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE AT UNIVERSITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "WEINBERGER",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "618-656-1081"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

Verify at the official NPI Registry.