Organization Active NPI

Siloam Healthcare LLC

  • Skilled Nursing Facility
  • Siloam Springs, AR
National Provider Identifier
1639666274
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SILOAM HEALTHCARE LLC
Practice address
811 W Elgin St
Siloam Springs, AR 72761-2327
Phone
(479) 524-3128
Fax
(479) 524-2296
NPI assigned
Apr 19, 2018
Last updated
Apr 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Chaim Shapiro
Title
Member
Phone
(848) 333-4369

Specialties & licenses 1

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

Addresses

Primary practice location

811 W Elgin St
Siloam Springs, AR 72761-2327

Mailing address

811 W Elgin St
Siloam Springs, AR 72761-2327
Phone (479) 524-3128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180809000841 AR Part A Provider - Skilled Nursing Facility 7618223827 Practice locations: Siloam Springs, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639666274. Details of each certification follow.

Skilled nursing facility certification: CCN 045356

Legal name
SILOAM HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 5, 1999
Last certification
Jan 17, 2025
Beds
125 (120 certified)
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jun 1, 2018
Organization structure
LLCProprietary
Enrollment address
811 West Elgin Street
Siloam Springs, AR 72761-2327
Nursing home name
SILOAM HEALTHCARE, LLC
Affiliated entity
THE SPRINGS ARKANSAS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Siloam Healthcare, LLCCCN 045356 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 5, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12085.9 residents per day on average
Chain
The Springs Arkansas26 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Chaim Kurz Individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 6.7%
Adp of the SNF Jun 1, 2018
Solomon Kurz Individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 6.7%
Adp of the SNF Jun 1, 2018
Lance Lee Hamilton Individual Operational/Managerial Control Jun 1, 2018
Adp of the SNF Jun 1, 2018
Isaac Gutman Individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 14.67%
Corporate OfficerManaging Member Jun 1, 2018
Adp of the SNF Jun 1, 2018
Organization, Lakewood, NJ Direct Ownership Interest Jun 1, 2018 1.4%
Chaim Shapiro Individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 15%
Corporate OfficerManaging Member Jun 1, 2018
Jacob Taub Individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 14.67%
Adp of the SNF Jun 1, 2018
Kimberly J Weaver Individual Operational/Managerial Control Aug 18, 2022
Adp of the SNF Aug 18, 2022
Alexander Hoffman Individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 14.66%
Adp of the SNF Jun 1, 2018
Esther Safrin Individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 10.1%
Adp of the SNF Jun 1, 2018
Helen Hoffman Individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 6.7%
Adp of the SNF Jun 1, 2018
Individual Direct Ownership Interest Jun 1, 2018 4%
Siloam Realty LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Jun 1, 2018
Individual Direct Ownership Interest Jun 1, 2018 4%
Organization, Lakewood, NJ Owned by another organization or individual Direct Ownership Interest Jun 1, 2018 1.4%
Wellspring Healthcare LLC Organization, Lakewood, NJ LLC, Management services company, For-profit Operational/Managerial Control Jun 1, 2018 100%
Adp of the SNF Dec 4, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1639666274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W ELGIN ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727612327",
            "telephone_number": "479-524-3128",
            "fax_number": "479-524-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W ELGIN ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727612327",
            "telephone_number": "479-524-3128",
            "fax_number": "479-524-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOAM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "848-333-4369"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.