NPIMap

Organization Active NPI

Alhambra Rehab & Healthcare LLC

  • Skilled Nursing Facility
  • Alhambra, IL
National Provider Identifier
1336759935
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALHAMBRA REHAB & HEALTHCARE LLC
Practice address
417 E Main St
Alhambra, IL 62001-3046
Phone
(618) 488-3565
NPI assigned
Aug 7, 2020
Last updated
Aug 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Scott E Stout, LNHANPI 1952874075
Title
Ceo/Owner
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

417 E Main St
Alhambra, IL 62001-3046

Mailing address

215 E Locust St
Harrisburg, IL 62946-1504
Phone (618) 294-8696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201112000659 IL Part A Provider - Skilled Nursing Facility 0941610414 Practice locations: Alhambra, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336759935. Details of each certification follow.

Skilled nursing facility certification: CCN 146052

Legal name
ALHAMBRA REHAB & HEALTHCARE LLC
Doing business as
ALHAMBRA REHAB & HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 26, 2003
Last certification
May 8, 2025
Beds
84 (57 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
WLC Mgmnt Firm
Most recent change of ownership
Aug 31, 2020
Organization structure
LLCProprietary
Incorporated
Aug 7, 2020 in IL
Enrollment address
417 E Main St
Alhambra, IL 62001-3046
Nursing home name
ALHAMBRA REHAB & HEALTHCARE
Affiliated entity
WLC MANAGEMENT FIRM

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alhambra Rehab & HealthcareCCN 146052 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 26, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5743.6 residents per day on average
Chain
WLC Management Firm18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2194158Alhambra Rehab & Healthcare LLC417 East Main St, Alhambra, IL 62001Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

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 InterestCeo Aug 31, 2020 100%
Corporate OfficerCeo Aug 31, 2020 100%
Operational/Managerial ControlCeo/Owner Aug 31, 2020 100%
WLC Management Firm LLC Organization, Harrisburg, IL LLC 5% Or Greater Direct Ownership Interest Aug 31, 2020 100%
Operational/Managerial Control Aug 31, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1336759935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E LOCUST ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629461504",
            "telephone_number": "618-294-8696",
            "fax_number": "618-294-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E MAIN ST",
            "city": "ALHAMBRA",
            "state": "IL",
            "postal_code": "620013046",
            "telephone_number": "618-488-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALHAMBRA REHAB & HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "618-294-8696",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, IL

Sources for this page

Verify at the official NPI Registry.