LAKESIDE HEALTH AND REHAB CENTER LLC
NPI 1780374736
Skilled Nursing Facility in Carlinville, IL

Active since May 12, 2023
1200 UNIVERSITY ST, CARLINVILLE, IL 62626(217) 854-4433 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lakeside Health And Rehab Center Llc NPPES

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

LAKESIDE HEALTH AND REHAB CENTER LLC (NPI 1780374736) is a healthcare organization registered as a skilled nursing facility in Carlinville, Illinois and active in the NPI registry since May 2023. The organization lists Shully Lichtman, Manager Of The Manager, as its authorized official.

NPPES Registry Identity

NPI1780374736
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKESIDE HEALTH AND REHAB CENTER LLC
Location Address1200 UNIVERSITY STCarlinville, IL 62626-9600
Mailing Address575 Route 70Brick, NJ 08723-4042
Organization SubpartNo
Authorized OfficialShully LichtmanManager Of The Manager · (217) 854-4433
Enumeration DateMay 12, 2023
NPPES CertifiedMay 12, 2023
✔ NPI 1780374736 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.
1200 UNIVERSITY ST, Carlinville, IL 62626

Accepted Insurance

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.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1200 UNIVERSITY ST
CARLINVILLE, IL 62626
Physical Therapy Assistant
1200 UNIVERSITY ST
CARLINVILLE, IL 62626
Occupational Therapy Assistant
1200 UNIVERSITY ST
CARLINVILLE, IL 62626
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1200 UNIVERSITY ST
CARLINVILLE, IL 62626
Occupational Therapy Assistant
1200 UNIVERSITY ST
CARLINVILLE, IL 62626
Physical Therapy Assistant
1200 UNIVERSITY ST
CARLINVILLE, IL 62626
Occupational Therapy Assistant
1200 UNIVERSITY ST
CARLINVILLE, IL 62626
Physical Therapy Assistant
1200 UNIVERSITY ST
CARLINVILLE, IL 62626

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 Lakeside Health And Rehab Center LLC's NPI number?

The NPI number for Lakeside Health And Rehab Center LLC is 1780374736. It was assigned to this organization in the NPPES registry on May 12, 2023.

Where is Lakeside Health And Rehab Center LLC located?

Lakeside Health And Rehab Center LLC is located at 1200 University St, Carlinville, IL 62626. The listed phone number is (217) 854-4433.

What is Lakeside Health And Rehab Center LLC's specialty?

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

What insurance does Lakeside Health And Rehab Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Lakeside Health And Rehab Center 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 Lakeside Health And Rehab Center LLC was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.