Organization Active NPI

Shelbyville Healthcare & Senior Living LLC

  • Skilled Nursing Facility
  • Shelbyville, IL
National Provider Identifier
1962225458
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SHELBYVILLE HEALTHCARE & SENIOR LIVING LLC
Practice address
2116 W South 3Rd St
Shelbyville, IL 62565-9102
Phone
(217) 774-2128
NPI assigned
Nov 4, 2024
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2116 W South 3Rd St
Shelbyville, IL 62565-9102

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
O20250203000324 IL Part A Provider - Skilled Nursing Facility 4981133139 Practice locations: Shelbyville, IL

Skilled nursing facility certification: CCN 145836

Legal name
SHELBYVILLE HEALTHCARE & SENIOR LIVING LLC
Doing business as
SHELBYVILLE HEALTHCARE & SENIOR LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 1, 1995
Last certification
Aug 9, 2024
Beds
80
Ownership / control type
Corporation
Multi-facility organization
Lincoln Health Care
Organization structure
LLCProprietary
Enrollment address
2116 W South 3Rd St
Dacey Drive
Shelbyville, IL 62565-9102
Nursing home name
SHELBYVILLE HEALTHCARE & SENIOR LIVING
Affiliated entity
POINTE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Shelbyville Healthcare & Senior LivingCCN 145836
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8039.0 residents per day on average
Chain
Pointe Management12 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0435275Shelbyville Healthcare & Senior Living2116 W South 3Rd & Dacey Dr, Shelbyville, IL 62565Certificate of waiverAug 31, 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
Organization, San Clemente, CA Corporation, Real estate investment trust (REIT) Adp of the SNF Dec 1, 2024
David Oligschlaeger Individual 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
Organization, Skokie, IL LLC, Holding company Adp of the SNF Apr 8, 2025
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, San Clemente, CA Adp of the SNF Dec 1, 2024
Amanda Spade 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
Organization, Skokie, IL LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Dec 1, 2024 0.01%
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%
Tyler Doughty Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
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": "1962225458",
    "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": "2116 W SOUTH 3RD ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625659102",
            "telephone_number": "217-774-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE 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": "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 Shelbyville, IL

Sources for this page

Verify at the official NPI Registry.