CARBONDALE REHABILITATION AND NURSING CENTER, LLC
NPI 1063518850
Skilled Nursing Facility in Carbondale, IL

Active since September 16, 2006
120 N TOWER RD, CARBONDALE, IL 62901(618) 549-3355(618) 549-0484 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carbondale Rehabilitation And Nursing Center, Llc NPPES

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

CARBONDALE REHABILITATION AND NURSING CENTER, LLC (NPI 1063518850), doing business as Oak Grove Rehabilitation And Skilled Care, is a healthcare organization registered as a skilled nursing facility in Carbondale, Illinois and active in the NPI registry since September 2006. The organization lists Steven Blisko, C.f.o, as its authorized official.

NPPES Registry Identity

NPI1063518850
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCARBONDALE REHABILITATION AND NURSING CENTER, LLC
Location Address120 N TOWER RDCarbondale, IL 62901-1929
Mailing Address8707 Skokie Blvd, Suite 310Skokie, IL 60077-2269 · (708) 236-0000 · Fax (708) 236-0001
Fax(618) 549-0484
Organization SubpartNo
Authorized OfficialSteven BliskoC.f.o · (708) 236-0000
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMarch 30, 2011
NPI 1063518850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 0041418
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.
120 N TOWER RD, Carbondale, IL 62901

Other Names 1

Former Legal Business NameOak Grove Rehabilitation And Skilled Care

Other Identifiers 3

Other6009203IL · Facility Id
Medicaid=========001IL
Medicare ID-Type Unspecified145757IL

Other Providers at the Same Location NPPES 7

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

Physical Therapy Assistant
120 N TOWER RD
CARBONDALE, IL 62901
Occupational Therapist
120 N TOWER RD
CARBONDALE, IL 62901
Physical Therapy Assistant
120 N TOWER RD
CARBONDALE, IL 62901
Physical Therapy Assistant
120 N TOWER RD
CARBONDALE, IL 62901
Speech-Language Pathologist
120 N TOWER RD
CARBONDALE, IL 62901
Physical Therapy Assistant
120 N TOWER RD
CARBONDALE, IL 62901
Occupational Therapist
120 N TOWER RD
CARBONDALE, IL 62901

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 Carbondale Rehabilitation And Nursing Center, LLC's NPI number?

The NPI number for Carbondale Rehabilitation And Nursing Center, LLC is 1063518850. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider was formerly known as Oak Grove Rehabilitation And Skilled Care.

Where is Carbondale Rehabilitation And Nursing Center, LLC located?

Carbondale Rehabilitation And Nursing Center, LLC is located at 120 N Tower Rd, Carbondale, IL 62901. The listed phone number is (618) 549-3355.

What is Carbondale Rehabilitation And Nursing Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Carbondale Rehabilitation And Nursing Center, LLC was last updated on March 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.