NPIMap

Organization Active NPI

Eldorado Rehab & Healthcare, LLC

  • Skilled Nursing Facility
  • Eldorado, IL
National Provider Identifier
1033648332
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELDORADO REHAB & HEALTHCARE, LLC
Practice address
1001A Jefferson St
Eldorado, IL 62930-1373
Phone
(618) 273-3353
NPI assigned
Jun 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott E StoutNPI 1952874075
Title
Ceo
Phone
(618) 294-8696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1001A Jefferson St
Eldorado, IL 62930-1373

Mailing address

1001A Jefferson St
Eldorado, IL 62930-1373
Phone (618) 273-3353

Other identifiers 1

IdentifierTypeStateIssuer
0020628OtherILILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170919002642 IL Part A Provider - Skilled Nursing Facility 2668746363 Practice locations: Eldorado, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033648332. Details of each certification follow.

Skilled nursing facility certification: CCN 145890

Legal name
ELDORADO REHAB & HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1996
Last certification
Apr 17, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
WLC Managment
Most recent change of ownership
Jul 1, 2017
Organization structure
LLCProprietary
Incorporated
May 31, 2017 in IL
Enrollment address
1001A Jefferson St
Eldorado, IL 62930-1373
Nursing home name
ELDORADO REHAB & HEALTHCARE
Affiliated entity
WLC MANAGEMENT FIRM

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eldorado Rehab & HealthcareCCN 145890 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9967.4 residents per day on average
Chain
WLC Management Firm18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

215 E Locust St
Harrisburg, IL 62946

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott E Stout Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2017 100%
Corporate OfficerCeo Jul 1, 2017
Operational/Managerial ControlDeo Jul 1, 2017
WLC Management Firm LLC Organization, Harrisburg, IL LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2017 100%

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033648332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001A JEFFERSON ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301373",
            "telephone_number": "618-273-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001A JEFFERSON ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301373",
            "telephone_number": "618-273-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDORADO REHAB & HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-294-8696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE NUMBER",
            "identifier": "0020628",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldorado, IL

Sources for this page

Verify at the official NPI Registry.