Active NPIOrganization

Cedar Ridge Care And Rehabilitation Center LLC

Skilled Nursing Facility in Lebanon, Illinois

NPI Number1245884469
Practice location
1 Perryman St, Lebanon, IL 62254-1356
Fax
—
Last updated
April 13, 2026

Cedar Ridge Care And Rehabilitation Center LLC is a healthcare organization based in Lebanon, IL. Cedar Ridge Care And Rehabilitation Center LLC practices in Lebanon, IL. The NPI Number for Cedar Ridge Care And Rehabilitation Center LLC is 1245884469. The current practice location address for Cedar Ridge Care And Rehabilitation Center LLC is 1 Perryman St, Lebanon, IL 62254-1356 and can be reached out via phone at 618-537-6165.

Provider Profile Details

NPI Number
1245884469
Provider Name
Cedar Ridge Care And Rehabilitation Center LLC
Provider Entity Type
Organization
Address
1 Perryman St, Lebanon, IL 62254-1356
Phone Number
618-537-6165
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Shalom Lichtman · Medicare Authorized Official · 618-537-6165
Provider Enumeration Date
July 25, 2019
Last Update Date
April 13, 2026
Certification Date
April 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Perryman St
Lebanon, IL 62254-1356
Zip
62254-1356
Phone Number
618-537-6165
Lebanon, IL 62254Get directions →

Provider Business Mailing Address Details

Address
229 Route 70 Ste 100
Toms River, NJ 08755-1026
City
Toms River
State
NJ
Zip
08755-1026

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cedar Ridge Care And Rehabilitation Center LLC?

The NPI number of Cedar Ridge Care And Rehabilitation Center LLC is 1245884469. It was assigned on July 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Cedar Ridge Care And Rehabilitation Center LLC?

Cedar Ridge Care And Rehabilitation Center LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Cedar Ridge Care And Rehabilitation Center LLC practice?

The practice location is 1 Perryman St, Lebanon, IL 62254-1356. The office can be reached at 618-537-6165 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245884469 directly on the NPPES registry website.

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