SHELBYVILLE HEALTHCARE & SENIOR LIVING LLC
NPI 1962225458
Skilled Nursing Facility in Shelbyville, IL

Active since November 04, 2024CLIA 14D0435275 · Waiver
2116 W SOUTH 3RD ST, SHELBYVILLE, IL 62565(217) 774-2128 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2025, Nov 4, 2024 (2 updates tracked since 2024).

About Shelbyville Healthcare & Senior Living Llc NPPES

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

SHELBYVILLE HEALTHCARE & SENIOR LIVING LLC (NPI 1962225458) is a healthcare organization registered as a skilled nursing facility in Shelbyville, Illinois and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kevin Chankin, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1962225458
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHELBYVILLE HEALTHCARE & SENIOR LIVING LLC
Location Address2116 W SOUTH 3RD STShelbyville, IL 62565-9102
Mailing Address8153 Lawndale AveSkokie, IL 60076-3321
Organization SubpartNo
Authorized OfficialKevin ChankinAuthorized Official · (773) 745-1107
Enumeration DateNovember 4, 2024
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
NPI 1962225458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
2116 W SOUTH 3RD ST, Shelbyville, IL 62565

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 14D0435275

Shelbyville Healthcare & Senior Living · Shelbyville, IL
Active · expires Aug 31, 2026
CLIA Number14D0435275
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJennifer L. Kugel
Laboratory Phone(217) 774-2128
Laboratory LocationShelbyville Healthcare & Senior Living2116 W South 3rd & Dacey Dr, Shelbyville, IL 62565
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 5

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

Physical Therapy Assistant
2116 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Occupational Therapist
2116 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Skilled Nursing Facility
2116 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Physical Therapy Assistant
2116 W SOUTH 3RD ST
SHELBYVILLE, IL 62565
Skilled Nursing Facility
2116 W SOUTH 3RD ST
SHELBYVILLE, IL 62565

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 Shelbyville Healthcare & Senior Living LLC's NPI number?

The NPI number for Shelbyville Healthcare & Senior Living LLC is 1962225458. It was assigned to this organization in the NPPES registry on November 4, 2024.

Where is Shelbyville Healthcare & Senior Living LLC located?

Shelbyville Healthcare & Senior Living LLC is located at 2116 W South 3rd St, Shelbyville, IL 62565. The listed phone number is (217) 774-2128.

What is Shelbyville Healthcare & Senior Living LLC's specialty?

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

Does Shelbyville Healthcare & Senior Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0435275) 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 Shelbyville Healthcare & Senior Living LLC was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.