MASCOUTAH REHAB AND NURSING LLC
NPI 1891594651
Skilled Nursing Facility in Mascoutah, IL

Active since March 12, 2025CLIA 14D2324172 · Waiver
201 S 10TH ST, MASCOUTAH, IL 62258(618) 566-8000 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mascoutah Rehab And Nursing Llc NPPES

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

MASCOUTAH REHAB AND NURSING LLC (NPI 1891594651) is a healthcare organization registered as a skilled nursing facility in Mascoutah, Illinois and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Benjamin Friedman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891594651
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMASCOUTAH REHAB AND NURSING LLC
Location Address201 S 10TH STMascoutah, IL 62258-1736
Mailing Address201 S 10th StMascoutah, IL 62258-1736 · (618) 566-8000
Organization SubpartNo
Authorized OfficialBenjamin FriedmanCfo · (845) 414-3300
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
NPI 1891594651 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.
201 S 10TH ST, Mascoutah, IL 62258

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 14D2324172

Mascoutah Rehab And Nursing LLC · Mascoutah, IL
Active · expires May 19, 2027
CLIA Number14D2324172
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorMillman Chaim
Laboratory Phone(845) 414-3300
Laboratory LocationMascoutah Rehab And Nursing LLC201 S 10th St, Mascoutah, IL 62258
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 6

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

Skilled Nursing Facility
201 S 10TH ST
MASCOUTAH, IL 62258
Occupational Therapist
201 S 10TH ST
MASCOUTAH, IL 62258
Physical Therapist (Geriatrics)
201 S 10TH ST
MASCOUTAH, IL 62258
Physical Therapy Assistant
201 S 10TH ST
MASCOUTAH, IL 62258
Skilled Nursing Facility
201 S 10TH ST
MASCOUTAH, IL 62258
Occupational Therapy Assistant
201 S 10TH ST
MASCOUTAH, IL 62258

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 Mascoutah Rehab And Nursing LLC's NPI number?

The NPI number for Mascoutah Rehab And Nursing LLC is 1891594651. It was assigned to this organization in the NPPES registry on March 12, 2025.

Where is Mascoutah Rehab And Nursing LLC located?

Mascoutah Rehab And Nursing LLC is located at 201 S 10th St, Mascoutah, IL 62258. The listed phone number is (618) 566-8000.

What is Mascoutah Rehab And Nursing LLC's specialty?

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

Does Mascoutah Rehab And Nursing LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2324172) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mascoutah Rehab And Nursing LLC accept?

Health plans from UnitedHealthcare list Mascoutah Rehab And Nursing 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 Mascoutah Rehab And Nursing LLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.