Carbondale Rehabilitation and Nursing Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0041418 Issued in IL

Legal business name

CARBONDALE REHABILITATION AND NURSING CENTER, LLC

Practice address

120 N Tower Rd
Carbondale, IL 62901-1929

Phone

(618) 549-3355

Fax

(618) 549-0484

NPI assigned

Sep 16, 2006

Last updated

Mar 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Blisko

Title

C.F.O

Phone

(708) 236-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OAK GROVE REHABILITATION AND SKILLED CARE Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063518850. Details of each certification follow.

• CCN 145757 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145757

Legal name

CARBONDALE REHABILITATION AND NURSING CENTER, LLC

Doing business as

CARBONDALE REHABILITATION AND NURSING CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1993

Last certification

Feb 10, 2025

Beds

131

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Intergrity Healthcare Communities

Organization structure

LLCProprietary

Incorporated

Jun 1, 2010 in IL

Enrollment address

120 N Tower Rd
Carbondale, IL 62901-1929

Nursing home name

INTEGRITY HC OF CARBONDALE

Affiliated entity

INTEGRITY HEALTHCARE COMMUNITIES

Listed as

Integrity HC of CarbondaleCCN 145757 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

1311.0 residents per day on average

Chain

Integrity Healthcare Communities5 facilities in the chain

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

5Fines totaling $369,760

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Christopher James Hanson, M.D., M.B.A

  • Family Medicine Physician
  • Carbondale, IL
  • NPI 1447514971

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Christopher James Hanson, M.D., M.B.A

  • Family Medicine Physician
  • Carbondale, IL
  • NPI 1447514971
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1063518850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD",
            "address_2": "SUITE 310",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772269",
            "telephone_number": "708-236-0000",
            "fax_number": "708-236-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N TOWER RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011929",
            "telephone_number": "618-549-3355",
            "fax_number": "618-549-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBONDALE REHABILITATION AND NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "BLISKO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "C.F.O",
        "authorized_official_telephone_number": "708-236-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0041418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "6009203",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAK GROVE REHABILITATION AND SKILLED CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Skilled Nursing Facility in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.