Active NPI
Nature Trail Health and Rehab Center LLC
- Skilled Nursing Facility
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NATURE TRAIL HEALTH AND REHAB CENTER LLC
- Practice address
- 1001 S 34TH St
Mount Vernon, IL 62864-6232 - Phone
- (618) 242-5700
- NPI assigned
- Mar 29, 2021
- 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
- Shalom Lichtman
- Title
- Medicare Authorized Official
- Phone
- (917) 873-2936
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1001 S 34TH St
Mount Vernon, IL 62864-6232
Mailing address
229 Route 70 Ste 100
Toms River, NJ 08755-1026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210520002783 | IL | Part A Provider - Skilled Nursing Facility | 4981003142 | Practice locations: Mount Vernon, IL |
Skilled nursing facility certification: CCN 146021
- Legal name
- NATURE TRAIL HEALTH AND REHAB CENTER LLC
- Doing business as
- NATURE TRAIL HEALTH AND REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Mar 1, 2002
- Last certification
- Feb 4, 2025
- Beds
- 74
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 1001 S 34TH St
Mount Vernon, IL 62864-6232 - Nursing home name
- NATURE TRAIL HEALTH AND REHAB
- Affiliated entity
- CREST HEALTHCARE CONSULTING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Nature Trail Health and Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 2002
- Medicare certification status
- Active
- Certified beds
- 74
- Chain
- Crest Healthcare Consulting
- Penalties (3 years)
- 2
National Provider Directory
National Provider Directory- Tax ID family
- Nature Trail Health and Rehab Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Mount Vernon, IL
- NPI 1255096186
-
- Oxygen Equipment & Supplies (DME)
- Mount Vernon, IL
- NPI 1619632544
Ownership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| Mrs Family Trust | 5% Or Greater Indirect Ownership Interest | Feb 27, 2024 | 21.54% |
| Adp of the SNF | Feb 27, 2024 | ||
| Indirect Ownership Interest | May 1, 2021 | 1.5% | |
| Indirect Ownership Interest | May 1, 2021 | 2% | |
| Shalom Lichtman | 5% Or Greater Indirect Ownership Interest | May 1, 2021 | 18.5% |
| Operational/Managerial Control | May 1, 2021 | ||
| Managing Control - Governing Body | May 1, 2021 | ||
| Adp of the SNF | May 1, 2021 | ||
| Nature Trail Realty | Adp of the SNF | May 1, 2021 | |
| Crest Realty Holdco LLC | Adp of the SNF | May 1, 2021 | |
| Indirect Ownership Interest | Feb 27, 2024 | 1% | |
| LTC Consulting Services LLC | Operational/Managerial Control | May 1, 2021 | |
| Adp of the SNF | May 1, 2021 | ||
| Crest II TBD Holdco | 5% Or Greater Indirect Ownership Interest | Feb 27, 2024 | 100% |
| Adp of the SNF | Dec 12, 2025 | ||
| Meir Singer | Indirect Ownership Interest | Feb 27, 2024 | 1.12% |
| Light Man LLC | Operational/Managerial Control | May 1, 2021 | |
| Indirect Ownership Interest | Feb 27, 2024 | 1.13% | |
| Mdatas Trust | 5% Or Greater Indirect Ownership Interest | Feb 27, 2024 | 21.54% |
| Adp of the SNF | Feb 27, 2024 | ||
| Indirect Ownership Interest | Feb 27, 2024 | 1.13% | |
| Fejcc Trust | 5% Or Greater Indirect Ownership Interest | Feb 27, 2024 | 21.54% |
| Adp of the SNF | Feb 27, 2024 | ||
| Indirect Ownership Interest | Feb 27, 2024 | 1% | |
| Indirect Ownership Interest | Feb 27, 2024 | 1% | |
| Capital Finance LLC | 5% Or Greater Security Interest | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Crest Illinois Holdco II LLC | 5% Or Greater Direct Ownership Interest | Feb 27, 2024 | 100% |
| John a Flick | Operational/Managerial Control | Dec 6, 2024 | |
| Adp of the SNF | Dec 6, 2024 | ||
| Suzanne Robbins | Operational/Managerial Control | Mar 31, 2025 | |
| Adp of the SNF | Mar 31, 2025 | ||
| Moshe Weintraub | 5% Or Greater Indirect Ownership Interest | May 1, 2021 | 6.7% |
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
- St Louis, MO
- NPI 1770782351
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 48
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Beardstown, IL
- NPI 1336839380
Light Man LLC
-
- Skilled Nursing Facility
- Lebanon, IL
- NPI 1245884469
Capital Finance LLC, Light Man LLC, LTC Consulting Services LLC
-
- Skilled Nursing Facility
- Gillespie, IL
- NPI 1932899887
Light Man LLC
-
- Skilled Nursing Facility
- Carlinville, IL
- NPI 1184278301
Fejcc Trust, Mdatas Trust, Mrs Family Trust
-
- Skilled Nursing Facility
- Pekin, IL
- NPI 1073148920
Capital Finance LLC, Light Man LLC
-
- Skilled Nursing Facility
- Highland, IL
- NPI 1164076386
Capital Finance LLC, Light Man LLC
-
- Skilled Nursing Facility
- Charleston, IL
- NPI 1770137937
Capital Finance LLC, Light Man LLC
-
- Skilled Nursing Facility
- Jacksonville, IL
- NPI 1952955189
Light Man LLC
-
- Skilled Nursing Facility
- Carlinville, IL
- NPI 1780374736
Light Man LLC
-
- Skilled Nursing Facility
- Litchfield, IL
- NPI 1922798875
Light Man LLC
-
- Skilled Nursing Facility
- Grayville, IL
- NPI 1245903996
Fejcc Trust, Mdatas Trust, Mrs Family Trust
-
- Skilled Nursing Facility
- Mt Sterling, IL
- NPI 1376233221
Light Man LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- St Louis, MO
- NPI 1770782351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1851979280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 ROUTE 70 STE 100",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087551026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S 34TH ST",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646232",
"telephone_number": "618-242-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURE TRAIL HEALTH AND REHAB CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-29",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "LICHTMAN",
"authorized_official_first_name": "SHALOM",
"authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "917-873-2936"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, IL
- National Healthcare of Mt. Vernon, Inc
- National Imaging of Mount Vernon LLC
- National Radiology Group at Mt Vernon LLC
- Nature Trail Health and Rehab Center LLC
- Nature Trail Health and Rehab Center LLC
- Mark Franklin Naylor, MD
- Neal Family Dentistry
- Charles W Neal, M.D.
- George E Neal, DDS
- Michael Wesley Neal, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.