MOMENCE MEADOWS NURSING & REHABILITATION CENTER
NPI 1215921622
Skilled Nursing Facility in Momence, IL

Active since August 31, 2005CLIA 14D0954622 · Waiver
1/5
Overall Rating
500 S WALNUT ST, MOMENCE, IL 60954(815) 472-2423(815) 472-6212 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Momence Meadows Nursing & Rehabilitation Center NPPES

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

MOMENCE MEADOWS NURSING & REHABILITATION CENTER (NPI 1215921622) is a healthcare organization registered as a skilled nursing facility in Momence, Illinois and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Moishe Gubin, Owner, as its authorized official.

NPPES Registry Identity

NPI1215921622
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMOMENCE MEADOWS NURSING & REHABILITATION CENTER
Location Address500 S WALNUT STMomence, IL 60954-1814
Mailing Address500 S WalnutMomence, IL 60954 · (815) 472-2423 · Fax (815) 472-6212
Fax(815) 472-6212
Organization SubpartNo
Authorized OfficialMoishe GubinOwner · (815) 472-2423
Enumeration DateAugust 31, 2005
Last NPPES UpdateApril 20, 2008
NPI 1215921622 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 · 0028480
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.
500 S WALNUT ST, Momence, IL 60954

Other Identifiers 4

Medicaid=========001IL
Medicare NSC5749980001IL
Other50263IL · Bcbs Provider Number
Medicare OSCAR/certification145713IL

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 14D0954622

Momence Meadows Nursing & Rehab Center LLC · Momence, IL
Active · expires Dec 2, 2026
CLIA Number14D0954622
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorTkira Siler
Laboratory Phone(815) 472-2423
Laboratory LocationMomence Meadows Nursing & Rehab Center LLC500 S Walnut St, Momence, IL 60954
CLIA data matches this NPI record on: Address 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 Momence Meadows Nursing & Rehab (CMS certification number 145713), from CMS Care Compare.

Momence Meadows Nursing & Rehab

Nursing home · Momence, IL
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number145713
Certified Beds140 beds79 residents per day on average
Medicare & Medicaid Participant SinceMarch 1, 1992
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
108
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 1.42 · LPN 1.03 · RN 0.47
2.93 hrs per resident per day
Weekend Nurse Staffing
2.57 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
64.5%
Registered Nurse Turnover
77.8%
Administrators Who Have Left
In the past year.
3
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
0
Substantiated Complaints
29
Fines
1 totaling $20,000.00
Medicare Payment Denials
1
Total Penalties
2
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

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

Skilled Nursing Facility
500 S WALNUT ST
MOMENCE, IL 60954

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 Momence Meadows Nursing & Rehabilitation Center's NPI number?

The NPI number for Momence Meadows Nursing & Rehabilitation Center is 1215921622. It was assigned to this organization in the NPPES registry on August 31, 2005.

Where is Momence Meadows Nursing & Rehabilitation Center located?

Momence Meadows Nursing & Rehabilitation Center is located at 500 S Walnut St, Momence, IL 60954. The listed phone number is (815) 472-2423.

What is Momence Meadows Nursing & Rehabilitation Center's specialty?

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

Does Momence Meadows Nursing & Rehabilitation Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0954622) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Momence Meadows Nursing & Rehabilitation Center a Medicare-certified nursing home?

Yes. Momence Meadows Nursing & Rehab is a Medicare-certified nursing home with 140 certified beds.

What quality rating does Momence Meadows Nursing & Rehabilitation Center have?

CMS rates Momence Meadows Nursing & Rehab 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Momence Meadows Nursing & Rehabilitation Center was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.