EVERCARE OF LEBANON LLC
NPI 1952121444
Skilled Nursing Facility in Lebanon, IL

Active since October 10, 2024CLIA 14D0434378 · Waiver
1201 N ALTON ST, LEBANON, IL 62254(618) 537-4401 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evercare Of Lebanon Llc NPPES

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

EVERCARE OF LEBANON LLC (NPI 1952121444) is a healthcare organization registered as a skilled nursing facility in Lebanon, Illinois and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Yehuda Rosenblatt, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1952121444
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERCARE OF LEBANON LLC
Location Address1201 N ALTON STLebanon, IL 62254-1103
Mailing Address3700 Oakton StSkokie, IL 60076-3407
Organization SubpartNo
Authorized OfficialYehuda RosenblattAuthorized Official · (618) 537-4401
Enumeration DateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
NPI 1952121444 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.
1201 N ALTON ST, Lebanon, IL 62254

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 14D0434378

Evercare Of Lebanon · Lebanon, IL
Active · expires Aug 31, 2026
CLIA Number14D0434378
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAsad L. Zaman
Laboratory Phone(618) 317-2310
Laboratory LocationEvercare Of Lebanon1201 N Alton, Lebanon, IL 62254
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Skilled Nursing Facility
1201 N ALTON ST
LEBANON, IL 62254
Skilled Nursing Facility
1201 N ALTON ST
LEBANON, IL 62254

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 Evercare Of Lebanon LLC's NPI number?

The NPI number for Evercare Of Lebanon LLC is 1952121444. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is Evercare Of Lebanon LLC located?

Evercare Of Lebanon LLC is located at 1201 N Alton St, Lebanon, IL 62254. The listed phone number is (618) 537-4401.

What is Evercare Of Lebanon LLC's specialty?

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

Does Evercare Of Lebanon LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0434378) is associated with this NPI, valid through August 31, 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 Evercare Of Lebanon LLC was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.