EVERCARE OF BREESE LLC
NPI 1649069600
Skilled Nursing Facility in Breese, IL

Active since May 05, 2025CLIA 14D0434200 · Waiver
1155 N 1ST ST, BREESE, IL 62230(618) 526-4521 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evercare Of Breese Llc NPPES

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

EVERCARE OF BREESE LLC (NPI 1649069600) is a healthcare organization registered as a skilled nursing facility in Breese, Illinois and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Shmuel Weinberger, Manager, as its authorized official.

NPPES Registry Identity

NPI1649069600
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERCARE OF BREESE LLC
Location Address1155 N 1ST STBreese, IL 62230-1735
Mailing Address3700 Oakton StSkokie, IL 60076-3407 · (845) 825-3197
Organization SubpartNo
Authorized OfficialShmuel WeinbergerManager · (845) 825-3197
Enumeration DateMay 5, 2025
NPPES CertifiedMay 5, 2025
NPI 1649069600 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.
1155 N 1ST ST, Breese, IL 62230

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 14D0434200

Evercare Of Breese · Breese, IL
Active · expires Aug 31, 2026
CLIA Number14D0434200
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn Flick
Laboratory Phone(618) 526-4521
Laboratory LocationEvercare Of Breese1155 N 1 St, Breese, IL 62230
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
1155 N 1ST ST
BREESE, IL 62230
Skilled Nursing Facility
1155 N 1ST ST
BREESE, IL 62230

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 Breese LLC's NPI number?

The NPI number for Evercare Of Breese LLC is 1649069600. It was assigned to this organization in the NPPES registry on May 5, 2025.

Where is Evercare Of Breese LLC located?

Evercare Of Breese LLC is located at 1155 N 1st St, Breese, IL 62230. The listed phone number is (618) 526-4521.

What is Evercare Of Breese LLC's specialty?

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

Does Evercare Of Breese LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0434200) 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 Breese LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.