NPIMap

Organization Active NPI

Sullivan Healthcare & Senior Living LLC

  • Skilled Nursing Facility
  • Sullivan, IL
National Provider Identifier
1679396162
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SULLIVAN HEALTHCARE & SENIOR LIVING LLC
Practice address
11 Hawthorne LN
Sullivan, IL 61951-9490
Phone
(217) 728-4327
NPI assigned
Nov 4, 2024
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Kevin Chankin
Title
Authorized Official
Phone
(773) 745-1107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

11 Hawthorne LN
Sullivan, IL 61951-9490

Mailing address

8153 Lawndale Ave
Skokie, IL 60076-3321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250203000514 IL Part A Provider - Skilled Nursing Facility 9032648290 Practice locations: Sullivan, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679396162. Details of each certification follow.

Skilled nursing facility certification: CCN 145370

Legal name
SULLIVAN HEALTHCARE & SENIOR LIVING LLC
Doing business as
SULLIVAN HEALTHCARE & SENIOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1978
Last certification
Sep 13, 2024
Beds
123
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
11 Hawthorne LN
Sullivan, IL 61951-9490
Nursing home name
SULLIVAN HEALTHCARE & SENIOR LIVING
Affiliated entity
POINTE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sullivan Healthcare & Senior LivingCCN 145370 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12374.1 residents per day on average
Chain
Pointe Management12 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $159,409

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Afmzl, LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 25%
Shimon Webster Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 18.35%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Aharon Weiss Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 25%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Yeruchom Levovitz Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 18.35%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Plante & Moran PLLC Organization, Southfield, MI LLC, Consulting firm Adp of the SNF Dec 1, 2024
Ecapital Healthcare Corp Organization, Aventura, FL Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Lincoln Healthcare Group, LLC Organization, Lakewood, NJ LLC Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Linicare Holdco LLC Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 99.99%
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Avrohom Ribiat Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 25%
Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Dec 1, 2024 0.01%
Amanda Spade Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Organization, San Clemente, CA Corporation, Real estate investment trust (REIT) Adp of the SNF Dec 1, 2024
Faisal Bukhari Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Kevin Chankin Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 10%
Managing Control - Governing BodyMedicare Authorized Official Dec 1, 2024
Janelle Holthaus Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Stonewall HCG LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 25%
Organization, San Clemente, CA Adp of the SNF Dec 1, 2024
Organization, Skokie, IL LLC, Holding company Adp of the SNF Apr 9, 2025
S & C Holdings Illinois LLC Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 36.7%

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 24

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

View all 24

Practitioners & affiliated clinicians

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": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1679396162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8153 LAWNDALE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HAWTHORNE LN",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619519490",
            "telephone_number": "217-728-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN HEALTHCARE & SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "CHANKIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "773-745-1107"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, IL

Sources for this page

Verify at the official NPI Registry.