NPIMap

Organization Active NPI

Haven of Farmer City, LLC

  • Skilled Nursing Facility
  • Farmer City, IL
National Provider Identifier
1992524037
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HAVEN OF FARMER CITY, LLC
Practice address
404 Brookview Dr
Farmer City, IL 61842-9746
Phone
(309) 928-2118
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Mr. Levi Israel
Title
Ceo
Phone
(847) 905-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

404 Brookview Dr
Farmer City, IL 61842-9746

Mailing address

2201 Main St
Evanston, IL 60202-1519
Phone (847) 905-3220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250317002667 IL Part A Provider - Skilled Nursing Facility 7719409077 Practice locations: Farmer City, IL

Skilled nursing facility certification: CCN 146104

Legal name
HAVEN OF FARMER CITY LLC
Doing business as
THE HAVEN OF FARMER CITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 2006
Last certification
Dec 17, 2024
Beds
56
Ownership / control type
Corporation
Multi-facility organization
Extended Care
Organization structure
LLCProprietary
Enrollment address
404 Brookview Dr
Farmer City, IL 61842-9746
Nursing home name
THE HAVEN OF FARMER CITY
Affiliated entity
HAVEN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Haven of Farmer CityCCN 146104
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
Aug 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5644.7 residents per day on average
Chain
Haven Healthcare7 facilities in the chain
Penalties (3 years)
2Fines totaling $122,236

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
14D0670349Haven of Farmer City, LLC, the404 Brookview Dr, Farmer City, IL 61842Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Organization, Chicago, IL Adp of the SNF Dec 1, 2024
Organization, Skokie, IL LLC, Holding company Adp of the SNF May 6, 2025
Haven Healthcare Holdings LLC Organization, Evanston, IL LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Dec 1, 2024 99%
Indirect Ownership Interest Dec 1, 2024 0.01%
Janice Kindred Individual Operational/Managerial Control Dec 1, 2024
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
William Rothner Individual Trustee of the SNF Dec 1, 2024
Organization, San Clemente, CA Consulting firm, Real estate investment trust (REIT) Adp of the SNF Dec 1, 2024
David Glat Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyManager Dec 1, 2024
Adp of the SNF Dec 1, 2024
Indirect Ownership Interest Dec 1, 2024 40%
Haven Healthcare LLC Organization, Evanston, IL Adp of the SNF Dec 1, 2024
CNH Finance Organization, Aventura, FL Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Dec 1, 2024 100%
Organization, San Clemente, CA Adp of the SNF Dec 1, 2024
Harold Katz Individual Trustee of the SNF Dec 1, 2024
Darrin M Ray Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Levi Israel Individual Adp of the SNF Dec 1, 2024
Indirect Ownership Interest Dec 1, 2024 20%

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1992524037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021519",
            "telephone_number": "847-905-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BROOKVIEW DR",
            "city": "FARMER CITY",
            "state": "IL",
            "postal_code": "618429746",
            "telephone_number": "309-928-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF FARMER CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-905-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmer City, IL

Sources for this page

Verify at the official NPI Registry.