WESTSIDE REHABILITATION & CARE CENTER
NPI 1811139876
Skilled Nursing Facility in West Frankfort, IL

Active since April 06, 2009CLIA 14D1060080 · Waiver
601 N COLUMBIA ST, WEST FRANKFORT, IL 62896(618) 932-2109 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 2, 2020, May 26, 2020, May 21, 2020 and 2 more (5 updates tracked since 2016).

About Westside Rehabilitation & Care Center NPPES

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

WESTSIDE REHABILITATION & CARE CENTER (NPI 1811139876) is a healthcare organization registered as a skilled nursing facility in West Frankfort, Illinois and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through October 12, 2026 and lists Mark B. Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1811139876
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWESTSIDE HCO, LLC
Location Address601 N COLUMBIA STWest Frankfort, IL 62896-1859
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113
Organization SubpartNo
Authorized OfficialMark B. PetersenManager · (309) 689-5880
Enumeration DateApril 6, 2009
Last NPPES UpdateDecember 2, 20205 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
NPI 1811139876 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 · 0053488
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.

601 N COLUMBIA ST, West Frankfort, IL 62896

Other Names 1

Doing Business AsWestside Rehabilitation & Care Center

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 14D1060080

Westside Rehabilitation & Care Center · West Frankfort, IL
Active · expires Oct 12, 2026
CLIA Number14D1060080
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorBrenda J. Hunt
Laboratory Phone(618) 932-2109
Laboratory LocationWestside Rehabilitation & Care Center601 N Columbia St, West Frankfort, IL 62896
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 4

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

Skilled Nursing Facility
601 N COLUMBIA ST
WEST FRANKFORT, IL 62896
Speech-Language Pathologist
601 N COLUMBIA ST
WEST FRANKFORT, IL 62896
Durable Medical Equipment & Medical Supplies
601 N COLUMBIA ST
WEST FRANKFORT, IL 62896
Skilled Nursing Facility
601 N COLUMBIA ST
WEST FRANKFORT, IL 62896

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 Westside Hco, LLC's NPI number?

The NPI number for Westside Hco, LLC is 1811139876. It was assigned to this organization in the NPPES registry on April 6, 2009. The provider is doing business as Westside Rehabilitation & Care Center.

Where is Westside Hco, LLC located?

Westside Hco, LLC is located at 601 N Columbia St, West Frankfort, IL 62896. The listed phone number is (618) 932-2109.

What is Westside Hco, LLC's specialty?

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

Does Westside Hco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1060080) is associated with this NPI, valid through October 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Westside Hco, LLC was last updated on December 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.