Evercare of Breese LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EVERCARE OF BREESE LLC

Practice address

1155 N 1St St
Breese, IL 62230-1735

Phone

(618) 526-4521

NPI assigned

May 5, 2025

Last updated

May 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shmuel Weinberger

Title

Manager

Phone

(845) 825-3197

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649069600. Details of each certification follow.

• CCN 145410 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145410

Legal name

EVERCARE OF BREESE LLC

Doing business as

EVERCARE OF BREESE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Mar 1, 1982

Last certification

Jan 31, 2025

Beds

112

Ownership / control type

Limited Liability Corporation

Multi-facility organization

caring first

Most recent change of ownership

Jun 11, 2025

Organization structure

LLCProprietary

Enrollment address

1155 N 1St St
Breese, IL 62230-1735

Nursing home name

EVERCARE OF BREESE

Affiliated entity

EVERCARE SKILLED NURSING

Listed as

Evercare of BreeseCCN 145410 · 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 - Limited Liability company

Certified

Mar 1, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11278.7 residents per day on average

Chain

Evercare Skilled Nursing8 facilities in the chain

Penalties (3 years)

6Fines totaling $164,735

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 22

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

Owners & managing parties with NPI records 1

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

• John A Flick, D.O.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1770782351

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1649069600",
    "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",
            "telephone_number": "845-825-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N 1ST ST",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301735",
            "telephone_number": "618-526-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE OF BREESE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "WEINBERGER",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-825-3197"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas a Kruse MD LLC
• Thomas B Doyle, MD
• Timothy H Droege, D.M.D.
• Dugan Radiology Associates, LTD
• Brittany Noel Essenpreis, PTA
• Family Care Pharmacy of Breese Inc (Family Care Pharmacy)
• Diane Marie Foppe, RPH
• Kristy May Frey, PT, DPT
• Arnel A Garcia, MD
• Brandon Gebke

• Skilled Nursing Facility in Breese, IL
• Providers in Breese, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.

Verify at the official NPI Registry.