Active NPI
Siloam Healthcare LLC
- Skilled Nursing Facility
- Siloam Springs, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 5, 1999
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- The Springs Arkansas
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Chaim Kurz | 5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 6.7% |
| Adp of the SNF | Jun 1, 2018 | ||
| Solomon Kurz | 5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 6.7% |
| Adp of the SNF | Jun 1, 2018 | ||
| Lance Lee Hamilton | Operational/Managerial Control | Jun 1, 2018 | |
| Adp of the SNF | Jun 1, 2018 | ||
| Isaac Gutman | 5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 14.67% |
| Corporate Officer | Jun 1, 2018 | ||
| Adp of the SNF | Jun 1, 2018 | ||
| Direct Ownership Interest | Jun 1, 2018 | 1.4% | |
| Chaim Shapiro | 5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 15% |
| Corporate Officer | Jun 1, 2018 | ||
| Jacob Taub | 5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 14.67% |
| Adp of the SNF | Jun 1, 2018 | ||
| Kimberly J Weaver | Operational/Managerial Control | Aug 18, 2022 | |
| Adp of the SNF | Aug 18, 2022 | ||
| Alexander Hoffman | 5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 14.66% |
| Adp of the SNF | Jun 1, 2018 | ||
| Esther Safrin | 5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 10.1% |
| Adp of the SNF | Jun 1, 2018 | ||
| Helen Hoffman | 5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 6.7% |
| Adp of the SNF | Jun 1, 2018 | ||
| Direct Ownership Interest | Jun 1, 2018 | 4% | |
| Siloam Realty LLC | Adp of the SNF | Jun 1, 2018 | |
| Direct Ownership Interest | Jun 1, 2018 | 4% | |
| Direct Ownership Interest | Jun 1, 2018 | 1.4% | |
| Wellspring Healthcare LLC | 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.
-
- Internal Medicine Physician
- Bentonville, AR
- NPI 1053309898
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Siloam Springs, AR
- NPI 1760426043
Nursing home
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
- Sarah Shields, SLP
- Brock Shinkle, LAC
- Linda Shipp, APRN
- Siloam Emergency Group LLC
- Siloam Eye Care
- Siloam Springs Adult Development Inc
- Siloam Springs Arkansas Hospital Company LLC (Siloam Springs Regional Hospital)
- Siloam Springs Arkansas Hospital Company LLC (Siloam Springs Regional Hospital)
- Siloam Springs Clinic Company LLC
- Siloam Springs Clinic Company, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.