WATERS OF LEBANON LLC
NPI 1629590310
Skilled Nursing Facility in Lebanon, IN

Active since July 13, 2017CLIA 15D0647088 · Waiver
1585 PERRY WORTH RD, LEBANON, IN 46052(765) 482-6391 Get Directions Write a Review

NPPES record last updated: July 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waters Of Lebanon Llc NPPES

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

WATERS OF LEBANON LLC (NPI 1629590310) is a healthcare organization registered as a skilled nursing facility in Lebanon, Indiana and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Moishe Gubin, Owner, as its authorized official.

NPPES Registry Identity

NPI1629590310
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWATERS OF LEBANON LLC
Location Address1585 PERRY WORTH RDLebanon, IN 46052-9635
Mailing Address240 Fencl LnHillside, IL 60162-2067 · (708) 449-1900
Organization SubpartNo
Authorized OfficialMoishe GubinOwner · (708) 449-1900
Enumeration DateJuly 13, 2017
NPI 1629590310 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.
1585 PERRY WORTH RD, Lebanon, IN 46052

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 15D0647088

Waters Of Lebanon, The · Lebanon, IN
Active · expires Aug 31, 2026
CLIA Number15D0647088
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKaren S. Hayden
Laboratory Phone(765) 482-6391
Laboratory LocationWaters Of Lebanon, The1585 Perry Worth Road, Lebanon, IN 46052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Nephrology)
1585 PERRY WORTH RD
LEBANON, IN 46052
Occupational Therapist
1585 PERRY WORTH RD
LEBANON, IN 46052
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1585 PERRY WORTH RD
LEBANON, IN 46052
Skilled Nursing Facility
1585 PERRY WORTH RD
LEBANON, IN 46052
Speech-Language Pathologist
1585 PERRY WORTH RD
LEBANON, IN 46052

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 Waters Of Lebanon LLC's NPI number?

The NPI number for Waters Of Lebanon LLC is 1629590310. It was assigned to this organization in the NPPES registry on July 13, 2017.

Where is Waters Of Lebanon LLC located?

Waters Of Lebanon LLC is located at 1585 Perry Worth Rd, Lebanon, IN 46052. The listed phone number is (765) 482-6391.

What is Waters Of Lebanon LLC's specialty?

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

Does Waters Of Lebanon LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0647088) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Waters Of Lebanon LLC accept?

Health plans from CareSource list Waters Of Lebanon LLC 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 Waters Of Lebanon LLC was last updated on July 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.