Active NPI
St. Clara's Manor
- Skilled Nursing Facility
- Lincoln, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0016949
- Legal business name
- ST. CLARA'S MANOR
- Practice address
- 200 5TH St
Lincoln, IL 62656-2619 - Phone
- (217) 735-1507
- Fax
- (217) 732-3188
- NPI assigned
- Nov 1, 2005
- Last updated
- Jun 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig L Ater
- Title
- Exec. VP & Cfo
- Phone
- (309) 823-7135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0016949 | IL | Primary |
Addresses
Primary practice location
200 5TH St
Lincoln, IL 62656-2619
Mailing address
200 5TH St
Lincoln, IL 62656-2619
Phone (217) 735-1507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100527000192 | IL | Part A Provider - Skilled Nursing Facility | 3173652203 | Practice locations: Lincoln, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1346231198. Details of each certification follow.
Skilled nursing facility certification: CCN 145720
- Legal name
- ST. CLARA'S MANOR
- Doing business as
- ST CLARA'S REHAB & SENIOR CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1992
- Last certification
- Feb 5, 2025
- Beds
- 106 (99 certified)
- Ownership / control type
- Nonprofit Corporation
- Most recent change of ownership
- Jan 1, 2010
- Organization structure
- Corporation
- Enrollment address
- 1450 Castle Manor Dr
Lincoln, IL 62656-6006 - Nursing home name
- ST CLARA'S REHAB & SENIOR CARE
- Affiliated entity
- HERITAGE OPERATIONS GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- St Clara's Rehab & Senior Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 1, 1992
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Heritage Operations Group
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0895944 | St Clara's Rehab & Senior Care | Certificate of waiver | Dec 20, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- St Clara's Manor
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Lincoln, IL
- NPI 1811231533
Locations
115 W Jefferson St
Fl 4
Bloomington, IL 61701
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Catherine McDowell | Corporate Director | Jan 1, 2024 | |
| Keary Anderson | Corporate Director | Feb 19, 2024 | |
| Operational/Managerial Control | Feb 19, 2024 | ||
| Adp of the SNF | Feb 19, 2024 | ||
| Heritage Operations Group, LLC | Operational/Managerial Control | Oct 19, 2016 | 100% |
| Adp of the SNF | Mar 26, 2025 | ||
| St. Clara's Manor | 5% Or Greater Direct Ownership Interest | Oct 19, 2016 | 100% |
| Connie Dehner | Corporate Director | Jan 22, 2020 | |
| Ellen Burbage | Corporate Director | Jan 22, 2020 | |
| Tonita Reifsteck | Corporate Director | Nov 8, 2016 | 20% |
| Dennis M Carroll | Corporate Director | Nov 8, 2016 | |
| Operational/Managerial Control | Nov 8, 2016 | ||
| Adp of the SNF | Nov 8, 2016 | ||
| Paul R Kasa | Corporate Director | Jan 22, 2020 | |
| Benjamin a Hart | Operational/Managerial Control | May 9, 2017 | 25% |
| Daniel Curry | Corporate Officer | Apr 4, 2024 | 100% |
| Steven Hart | Corporate Officer | Jul 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Lincoln, IL
- NPI 1396838835
Adp of the SNF, Corporate Director, Operational/Managerial Control
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Country Health Care & Rehab
- Skilled Nursing Facility
- Gifford, IL
- NPI 1225029879
Heritage Operations Group, LLC
-
dba The H & J Vonderlieth LVG CTR
- Skilled Nursing Facility
- Mount Pulaski, IL
- NPI 1376538157
Heritage Operations Group, LLC
-
dba Heritage Health
- Skilled Nursing Facility
- Hoopeston, IL
- NPI 1881636603
Heritage Operations Group, LLC
-
dba Odd Fellow Rebekah Home
- Skilled Nursing Facility
- Mattoon, IL
- NPI 1700877545
Heritage Operations Group, LLC
-
dba Mason City Area Nursing Home
- Skilled Nursing Facility
- Mason City, IL
- NPI 1487645024
Heritage Operations Group, LLC
-
dba Regency Care
- Skilled Nursing Facility
- Springfield, IL
- NPI 1053557009
Heritage Operations Group, LLC
-
dba Sunny Acres Nursing Home
- Skilled Nursing Facility
- Petersburg, IL
- NPI 1497856785
Heritage Operations Group, LLC
-
dba Villa Health Care East
- Skilled Nursing Facility
- Sherman, IL
- NPI 1417957309
Heritage Operations Group, LLC
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Occupational Therapy Assistant
- Lincoln, IL
- NPI 1841758240
-
- Physical Therapy Assistant
- Lincoln, IL
- NPI 1942866843
-
- Physical Therapy Assistant
- Lincoln, IL
- NPI 1053957233
Affiliated clinicians 8
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": "1130803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340409600000",
"number": "1346231198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 5TH ST",
"city": "LINCOLN",
"state": "IL",
"postal_code": "626562619",
"telephone_number": "217-735-1507",
"fax_number": "217-732-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 5TH ST",
"city": "LINCOLN",
"state": "IL",
"postal_code": "626562619",
"telephone_number": "217-735-1507",
"fax_number": "217-732-3188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. CLARA'S MANOR",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-01",
"last_updated": "2012-06-23",
"status": "A",
"authorized_official_last_name": "ATER",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXEC. VP & CFO",
"authorized_official_telephone_number": "309-823-7135",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0016949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2012; 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.