EDEN VILLAGE CARE CENTER
NPI 1073652921
Skilled Nursing Facility in Glen Carbon, IL

Active since February 06, 2007CLIA 14D0433458 · Waiver
5/5
Overall Rating
400 S STATION RD, GLEN CARBON, IL 62034(618) 288-5014(618) 288-0206 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eden Village Care Center NPPES

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

EDEN VILLAGE CARE CENTER (NPI 1073652921) is a healthcare organization registered as a skilled nursing facility in Glen Carbon, Illinois and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Elizabeth A Breihan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073652921
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEDEN RETIREMENT CENTER, INC.
Location Address400 S STATION RDGlen Carbon, IL 62034-2743
Mailing Address400 S Station RdGlen Carbon, IL 62034-2743 · (618) 288-5014 · Fax (618) 288-0206
Fax(618) 288-0206
Organization SubpartNo
Authorized OfficialElizabeth A BreihanExecutive Director · (618) 288-5014
Enumeration DateFebruary 6, 2007
Last NPPES UpdateAugust 17, 2018
NPI 1073652921 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 · 0023382
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.
400 S STATION RD, Glen Carbon, IL 62034

Other Names 1

Doing Business AsEden Village Care Center

Other Identifiers 2

Other0023382IL · Facility License #
Medicaid=========001IL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0433458

Eden Retirement Center Inc · Glen Carbon, IL
Active · expires Aug 31, 2026
CLIA Number14D0433458
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSusan J. Gibbear
Laboratory Phone(618) 288-5014
Laboratory LocationEden Retirement Center Inc400 S Station Road, Glen Carbon, IL 62034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Eden Village Care Center (CMS certification number 145384), from CMS Care Compare.

Eden Village Care Center

Nursing home · Glen Carbon, IL
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number145384
Certified Beds107 beds56 residents per day on average
Medicare & Medicaid Participant SinceMay 11, 1979
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
32.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.49 · LPN 1.04 · RN 0.68
4.21 hrs per resident per day
Weekend Nurse Staffing
3.47 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
33.3%
Registered Nurse Turnover
18.2%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
1 totaling $8,250.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Psychiatry)
400 S STATION RD
GLEN CARBON, IL 62034
Occupational Therapy Assistant
400 S STATION RD
GLEN CARBON, IL 62034
Occupational Therapy Assistant
400 S STATION RD
GLEN CARBON, IL 62034
Physical Therapy Assistant
400 S STATION RD
GLEN CARBON, IL 62034
Physical Therapy Assistant
400 S STATION RD
GLEN CARBON, IL 62034
Physical Therapy Assistant
400 S STATION RD
GLEN CARBON, IL 62034
Occupational Therapist
400 S STATION RD
GLEN CARBON, IL 62034
Physical Therapy Assistant
400 S STATION RD
GLEN CARBON, IL 62034

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 Eden Retirement Center, Inc.'s NPI number?

The NPI number for Eden Retirement Center, Inc. is 1073652921. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Eden Village Care Center.

Where is Eden Retirement Center, Inc. located?

Eden Retirement Center, Inc. is located at 400 S Station Rd, Glen Carbon, IL 62034. The listed phone number is (618) 288-5014.

What is Eden Retirement Center, Inc.'s specialty?

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

Does Eden Retirement Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0433458) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Eden Retirement Center, Inc. a Medicare-certified nursing home?

Yes. Eden Village Care Center is a Medicare-certified nursing home with 107 certified beds.

What quality rating does Eden Retirement Center, Inc. have?

CMS rates Eden Village Care Center 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Eden Retirement Center, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Eden Retirement Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eden Retirement Center, Inc. was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.