EVERCARE OF COLLINSVILLE LLC
NPI 1336969823
Skilled Nursing Facility in Collinsville, IL

Active since October 10, 2024CLIA 14D0434295 · Waiver
614 SUMMIT AVE, COLLINSVILLE, IL 62234(618) 344-8476 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evercare Of Collinsville Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERCARE OF COLLINSVILLE LLC (NPI 1336969823) is a healthcare organization registered as a skilled nursing facility in Collinsville, Illinois and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Yehuda Rosenblatt, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1336969823
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERCARE OF COLLINSVILLE LLC
Location Address614 SUMMIT AVECollinsville, IL 62234-3728
Mailing Address3700 Oakton StSkokie, IL 60076-3407
Organization SubpartNo
Authorized OfficialYehuda RosenblattAuthorized Official · (618) 344-8476
Enumeration DateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
NPI 1336969823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
614 SUMMIT AVE, Collinsville, IL 62234

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0434295

Evercare Of Collinsville · Collinsville, IL
Active · expires Aug 31, 2026
CLIA Number14D0434295
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAsad Zaman
Laboratory Phone(618) 317-2310
Laboratory LocationEvercare Of Collinsville614 N Summit, Collinsville, IL 62234
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
614 SUMMIT AVE
COLLINSVILLE, IL 62234
Physical Therapy Assistant
614 SUMMIT AVE
COLLINSVILLE, IL 62234
Skilled Nursing Facility
614 SUMMIT AVE
COLLINSVILLE, IL 62234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evercare Of Collinsville LLC's NPI number?

The NPI number for Evercare Of Collinsville LLC is 1336969823. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is Evercare Of Collinsville LLC located?

Evercare Of Collinsville LLC is located at 614 Summit Ave, Collinsville, IL 62234. The listed phone number is (618) 344-8476.

What is Evercare Of Collinsville LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Evercare Of Collinsville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0434295) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evercare Of Collinsville LLC was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.