MEADOW BROOK SKILLED NURSING AND REHAB LLC
NPI 1245903996
Skilled Nursing Facility in Grayville, IL

Active since July 28, 2021
320 S 2ND ST, GRAYVILLE, IL 62844(618) 375-2171 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 26, 2026, Jul 28, 2021 (2 updates tracked since 2021).

About Meadow Brook Skilled Nursing And Rehab Llc NPPES

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

MEADOW BROOK SKILLED NURSING AND REHAB LLC (NPI 1245903996) is a healthcare organization registered as a skilled nursing facility in Grayville, Illinois and active in the NPI registry since July 2021. The organization lists Shalom Lichtman, Medicare Authorized Official, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1245903996
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMEADOW BROOK SKILLED NURSING AND REHAB LLC
Location Address320 S 2ND STGrayville, IL 62844-1527
Mailing Address911 E County Line RdLakewood, NJ 08701-2069
Organization SubpartNo
Authorized OfficialShalom LichtmanMedicare Authorized Official · (917) 873-2936
Enumeration DateJuly 28, 2021
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1245903996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

320 S 2ND ST, Grayville, IL 62844

Accepted Insurance

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Non-emergency Medical Transport (VAN)
320 S 2ND ST
GRAYVILLE, IL 62844
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
320 S 2ND ST
GRAYVILLE, IL 62844
Skilled Nursing Facility
320 S 2ND ST
GRAYVILLE, IL 62844
Skilled Nursing Facility
320 S 2ND ST
GRAYVILLE, IL 62844
Skilled Nursing Facility
320 S 2ND ST
GRAYVILLE, IL 62844

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245903996, enumerated as an "organization" on July 28, 2021.

The provider is located at 320 S 2ND ST GRAYVILLE, IL 62844 and the phone number is (618) 375-2171.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.