Active NPIOrganization

Lakeside Health And Rehab Center LLC

Skilled Nursing Facility in Carlinville, Illinois

NPI Number1780374736
Practice location
1200 University St, Carlinville, IL 62626-9600
Fax
—
Last updated
May 12, 2023

Lakeside Health And Rehab Center LLC is a healthcare organization based in Carlinville, IL. Lakeside Health And Rehab Center LLC practices in Carlinville, IL. The NPI Number for Lakeside Health And Rehab Center LLC is 1780374736. The current practice location address for Lakeside Health And Rehab Center LLC is 1200 University St, Carlinville, IL 62626-9600 and can be reached out via phone at 217-854-4433.

Provider Profile Details

NPI Number
1780374736
Provider Name
Lakeside Health And Rehab Center LLC
Provider Entity Type
Organization
Address
1200 University St, Carlinville, IL 62626-9600
Phone Number
217-854-4433
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Shully Lichtman · Manager Of The Manager · 217-854-4433
Provider Enumeration Date
May 12, 2023
Last Update Date
May 12, 2023
Certification Date
May 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 University St
Carlinville, IL 62626-9600
Zip
62626-9600
Phone Number
217-854-4433
Carlinville, IL 62626Get directions →

Provider Business Mailing Address Details

Address
575 Route 70
Brick, NJ 08723-4042
City
Brick
State
NJ
Zip
08723-4042

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 Lakeside Health And Rehab Center LLC?

The NPI number of Lakeside Health And Rehab Center LLC is 1780374736. It was assigned on May 12, 2023 and is currently active in the NPPES registry.

What is the specialty of Lakeside Health And Rehab Center LLC?

Lakeside Health And Rehab Center LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Lakeside Health And Rehab Center LLC practice?

The practice location is 1200 University St, Carlinville, IL 62626-9600. The office can be reached at 217-854-4433 (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 1780374736 directly on the NPPES registry website.

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