CEDAR RIDGE CARE AND REHABILITATION CENTER LLC (NPI# 1245884469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245884469 |
| Entity Type | Organization |
| Organization Name | CEDAR RIDGE CARE AND REHABILITATION CENTER LLC |
| Practice Address |
1 Perryman St Lebanon IL 62254-1356 |
| Mailing Address |
14 Oliver St Lakewood NJ 08701-2339 |
| Practice Telephone | 6185376165 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | MEIR SINGER (PRESIDENT) |
| Authorized Official Telephone | 6185376165 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1 PERRYMAN ST |
| City | LEBANON |
| State | IL |
| Zip Code | 62254-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076021 | David A Weik | Podiatrist | 1 Perryman St, Lebanon, IL 62254-1356 | 2005-07-09 |
| 1003375270 | Cep America - Illinois Snf, LLP | Internal Medicine | 1 Perryman St, Lebanon, IL 62254-1356 | 2019-03-18 |
| 1578038402 | Andrea Bahan | Physical Therapist | 1 Perryman St, Lebanon, IL 62254-1356 | 2018-10-08 |
| 1114237575 | Kimberly Ann Wagner | Licensed Practical Nurse | 1 Perryman St, Lebanon, IL 62254-1356 | 2010-10-19 |
| 1740513076 | Jennifer Meyer | Speech-Language Pathologist | 1 Perryman St, Lebanon, IL 62254-1356 | 2009-09-18 |
| 1114130135 | Ashlei L Moses | Physical Therapy Assistant | 1 Perryman St, Lebanon, IL 62254-1356 | 2007-05-07 |
| 1275663445 | Covenant Care Midwest, Inc. | Skilled Nursing Facility | 1 Perryman St, Lebanon, IL 62254-1356 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477788305 | Tonya Gass | Occupational Therapist | 1201 North Alton, Lebanon, IL 62254 | 2009-05-21 |
| 1679550644 | Lebanon Hco, LLC | Skilled Nursing Facility | 1201 N Alton St, Lebanon, IL 62254-1103 | 2005-12-29 |
| 1346873510 | Lebanon Hco, LLC | Skilled Nursing Facility | 1201 N Alton St, Lebanon, IL 62254-1103 | 2020-02-17 |
| 1245475664 | Elizabeth Budd Korte | Family Medicine | 420 Hillcrest Dr, Lebanon, IL 62254-1107 | 2008-12-15 |
| 1467892760 | Christy Nichole Niles | Counselor | 10918 Fallowfield Dr, Lebanon, IL 62254-1163 | 2013-07-01 |
| 1144293820 | William Edward Dill II | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2006-02-10 |
| 1558988519 | Blake Hudspeth | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2020-06-25 |
| 1255957544 | Abigail Louise Conner | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2020-06-22 |
| 1588280200 | Katy Renee Gayford | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2020-06-18 |
| 1629595509 | Joshua Parker Craig | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2017-08-23 |
| Find all providers in zip 62254 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1982094587 | Mindy Walker | Skilled Nursing Facility | 942 Balsam Wood Ln, Lebanon, OH 45036-8528 | 2015-02-03 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| 1922239789 | Genesis Rehab | Skilled Nursing Facility | 847 Kirby Road, Lebanon, OH 45036 | 2009-07-28 |
| 1740443910 | Kindred Nursing Centers East LLC | Skilled Nursing Facility | 700 Monroe Rd, Lebanon, OH 45036-1409 | 2008-07-08 |
| 1093925612 | Cedars Nursing Home Inc. | Skilled Nursing Facility | 932 E Baddour Pkwy, Lebanon, TN 37087-3707 | 2007-05-23 |
| 1851412407 | Ssc Lebanon Operating Company LLC | Skilled Nursing Facility | 731 Castle Heights Ct, Lebanon, TN 37087-2646 | 2007-04-02 |
| 1972634285 | Healthcare Opportunities Inc | Skilled Nursing Facility | 102 E Silver St, Lebanon, OH 45036-1812 | 2007-03-08 |
| 1891874798 | The Good Samaritan Hospital | Skilled Nursing Facility | Fourth and Willow Streets, Lebanon, PA 17042 | 2006-11-03 |
| 1578649703 | Quality Care Investors | Skilled Nursing Facility | 932 Baddour Pkwy, Lebanon, TN 37087 | 2006-10-31 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.