JACKSONVILLE SKILLED NURSING AND REHABILITATION CENTER
NPI 1841599081
Skilled Nursing Facility in Jacksonville, IL

Active since March 25, 2011
1517 W WALNUT ST, JACKSONVILLE, IL 62650(217) 243-6451(217) 243-8295 Get Directions Write a Review

NPPES record last updated: March 25, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jacksonville Skilled Nursing And Rehabilitation Center NPPES

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

JACKSONVILLE SKILLED NURSING AND REHABILITATION CENTER (NPI 1841599081) is a healthcare organization registered as a skilled nursing facility in Jacksonville, Illinois and active in the NPI registry since March 2011. The organization lists Carol Sparks, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1841599081
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOVENANT CARE JACKSONVILLE, LLC
Location Address1517 W WALNUT STJacksonville, IL 62650-1133
Mailing Address1517 W Walnut StJacksonville, IL 62650-1133 · (217) 243-6451 · Fax (217) 243-8295
Fax(217) 243-8295
Organization SubpartNo
Authorized OfficialCarol SparksDirector Of Reimbursement · (949) 349-1200
Enumeration DateMarch 25, 2011
NPI 1841599081 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 · 20131
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.
1517 W WALNUT ST, Jacksonville, IL 62650

Other Names 1

Doing Business AsJacksonville Skilled Nursing And Rehabilitation Center

Other Identifiers 1

Medicare OSCAR/certification145273

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 14D0435455

Jacksonville Skilled Nursing And Rehab Convenant Care Jacksonville L Lc · Jacksonville, IL
Expired · Aug 31, 2026
CLIA Number14D0435455
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDavid Coultas M D
Laboratory Phone(217) 243-6451
Laboratory LocationJacksonville Skilled Nursing And Rehab Convenant Care Jacksonville L Lc1517 W Walnut, Jacksonville, IL 62650
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Internal Medicine
1517 W WALNUT ST
JACKSONVILLE, IL 62650
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1517 W WALNUT ST
JACKSONVILLE, IL 62650
Skilled Nursing Facility
1517 W WALNUT ST
JACKSONVILLE, IL 62650
Skilled Nursing Facility
1517 W WALNUT ST
JACKSONVILLE, IL 62650
Non-emergency Medical Transport (VAN)
1517 W WALNUT ST
JACKSONVILLE, IL 62650
Skilled Nursing Facility
1517 W WALNUT ST
JACKSONVILLE, IL 62650

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 Covenant Care Jacksonville, LLC's NPI number?

The NPI number for Covenant Care Jacksonville, LLC is 1841599081. It was assigned to this organization in the NPPES registry on March 25, 2011. The provider is doing business as Jacksonville Skilled Nursing And Rehabilitation Center.

Where is Covenant Care Jacksonville, LLC located?

Covenant Care Jacksonville, LLC is located at 1517 W Walnut St, Jacksonville, IL 62650. The listed phone number is (217) 243-6451.

What is Covenant Care Jacksonville, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Covenant Care Jacksonville, LLC was last updated on March 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.