NPIMap

Organization Active NPI

Parker Nursing & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Streator, IL
National Provider Identifier
1174822266
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2021816 Issued in IL
Legal business name
PARKER NURSING & REHABILITATION CENTER, LLC
Practice address
516 W Frech St
Streator, IL 61364-1216
Phone
(815) 672-2600
Fax
(815) 672-2282
NPI assigned
Mar 15, 2011
Last updated
Aug 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Ms. Debbie Fishbain
Title
Bookkeeper
Phone
(708) 236-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2021816 IL Primary

Addresses

Primary practice location

516 W Frech St
Streator, IL 61364-1216

Mailing address

240 Fencl LN
Hillside, IL 60162-2067
Phone (708) 529-4792

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111007000573 IL Part A Provider - Skilled Nursing Facility 0547432999 Practice locations: Streator, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174822266. Details of each certification follow.

Skilled nursing facility certification: CCN 145989

Legal name
PARKER NURSING & REHABILITATION CENTER, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 11, 1999
Last certification
Apr 9, 2025
Beds
102
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
516 W Frech St
Streator, IL 61364-1216
Nursing home name
PARKER NURSING & REHAB CENTER
Affiliated entity
INFINITY HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parker Nursing & Rehab CenterCCN 145989 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 11, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10260.4 residents per day on average
Chain
Infinity Healthcare Consulting69 facilities in the chain
Penalties (3 years)
16Fines totaling $169,816

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Camelot Terrace Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Gubin Enterprises Limited Partnership Organization, South Bend, IN 5% Or Greater Direct Ownership Interest Jan 1, 2015 50%
Bradley E Fierce Individual W-2 Managing EmployeeAdministrator Nov 4, 2021
Michael Blisko Individual 5% Or Greater Direct Ownership Interest Jan 1, 2015 50%

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1174822266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 FENCL LN",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622067",
            "telephone_number": "708-529-4792",
            "fax_number": "708-240-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W FRECH ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613641216",
            "telephone_number": "815-672-2600",
            "fax_number": "815-672-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER NURSING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "FISHBAIN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "708-236-0000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "2021816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streator, IL

Sources for this page

Verify at the official NPI Registry.