Healthcare Provider Details

I. General information

NPI: 1871467449
Provider Name (Legal Business Name): EVERCARE AT STEARNS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 STEARNS AVE
GRANITE CITY IL
62040-4154
US

IV. Provider business mailing address

3900 STEARNS AVE
GRANITE CITY IL
62040-4154
US

V. Phone/Fax

Practice location:
  • Phone: 618-391-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SHMUEL WEINBERGER
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 618-931-3900