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VILLAGE OF LEBANON II, LLC
NPI 1649484015
Nursing Facility/Intermediate Care Facility in Lebanon, KY

Active since May 09, 2007CLIA 18D1031596 · Waiver
2/5
Overall Rating
105 VILLAGE WAY, LEBANON, KY 40033(270) 692-9000(270) 699-3691 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Village Of Lebanon Ii, Llc NPPES

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

VILLAGE OF LEBANON II, LLC (NPI 1649484015) is a healthcare organization registered as a nursing facility/intermediate care facility in Lebanon, Kentucky and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Tim B George, Manager, as its authorized official.

NPPES Registry Identity

NPI1649484015
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameVILLAGE OF LEBANON II, LLC
Location Address105 VILLAGE WAYLebanon, KY 40033-1845
Mailing Address105 Village WayLebanon, KY 40033-1845 · (270) 692-9000 · Fax (270) 699-3691
Phone(270) 692-9000
Fax(270) 699-3691
Organization SubpartNo
Authorized OfficialTim B GeorgeManager · (502) 751-6823
Enumeration DateMay 9, 2007
Last NPPES UpdateApril 27, 2018
✔ NPI 1649484015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in KY · 100646
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
105 VILLAGE WAY, Lebanon, KY 40033
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100236520KY

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 18D1031596

Village Of Lebanon,the · Lebanon, KY
Active · expires Oct 4, 2026
CLIA Number18D1031596
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorRobbie Eastham
Laboratory Phone(270) 692-5171
Laboratory LocationVillage Of Lebanon,the105 Village Way, Lebanon, KY 40033
CLIA data matches this NPI record on: Address
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 The Village Of Lebanon II, LLC (CMS certification number 185437), from CMS Care Compare.

The Village Of Lebanon II, LLC

Nursing home · Lebanon, KY
2/5 CMS Overall Rating
OwnershipFor profit - Partnership
CMS Certification Number185437
Certified Beds64 beds54 residents per day on average
Medicare & Medicaid Participant SinceOctober 2, 1997
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.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
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.
21.33
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

Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
48.4%
Registered Nurse Turnover
30%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
11 totaling $49,288.62
Medicare Payment Denials
0
Total Penalties
11
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 2

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

VL OPCO LLC
Skilled Nursing Facility
105 VILLAGE WAY
LEBANON, KY 40033
Marion County (270) 692-9000
WHITNEY DAWN HAWS
Physical Therapy Assistant
105 VILLAGE WAY
LEBANON, KY 40033
Marion County (270) 692-9000

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 Village Of Lebanon II, LLC's NPI number?

The NPI number for Village Of Lebanon II, LLC is 1649484015. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Village Of Lebanon II, LLC located?

Village Of Lebanon II, LLC is located at 105 Village Way, Lebanon, KY 40033. The listed phone number is (270) 692-9000.

What is Village Of Lebanon II, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Village Of Lebanon II, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1031596) is associated with this NPI, valid through October 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Village Of Lebanon II, LLC a Medicare-certified nursing home?

Yes. The Village Of Lebanon II, LLC is a Medicare-certified nursing home with 64 certified beds.

What quality rating does Village Of Lebanon II, LLC have?

CMS rates The Village Of Lebanon II, LLC 2 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 Village Of Lebanon II, LLC was last updated on April 27, 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.