Organization Active NPI

Mascoutah Nursing and Rehab Center LLC

  • Skilled Nursing Facility
  • Mascoutah, IL
National Provider Identifier
1063351096
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MASCOUTAH NURSING AND REHAB CENTER LLC
Doing business as
La Bella of Mascoutah
Practice address
201 S 10TH St
Mascoutah, IL 62258-1736
Phone
(618) 566-8000
NPI assigned
Mar 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Akiva Garfinkel
Title
Manager
Phone
(773) 899-6924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

201 S 10TH St
Mascoutah, IL 62258-1736

Mailing address

7373 N Lincoln Ave Ste 300
Lincolnwood, IL 60712-1715

Other names 1

  • La Bella of Mascoutah Doing business as

National Provider Directory

National Provider Directory

Locations

7373 N Lincoln Ave
Ste 300
Lincolnwood, IL 60712

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1063351096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 N LINCOLN AVE STE 300",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 10TH ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622581736",
            "telephone_number": "618-566-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASCOUTAH NURSING AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "GARFINKEL",
        "authorized_official_first_name": "AKIVA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-899-6924"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Bella of Mascoutah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mascoutah, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.