St Anthonys Rehabilitation and Nursing Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ST ANTHONYS REHABILITATION AND NURSING CENTER LLC

Practice address

767 30TH St
Rock Island, IL 61201-1945

Phone

(309) 788-7631

NPI assigned

Apr 7, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Rajiv Shah

Title

Manager

Phone

(561) 315-5037

Specialties & licenses 3

Addresses

Other names 1

• ST ANTHONYS NSG AND REHAB CTR Doing business as

Medicare fee-for-service enrollment

Enrolled in IL3 enrollments

Enrollment records 3

Skilled nursing facility certification: CCN 145387

Legal name

ST ANTHONYS REHABILITATION AND NURSING CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Feb 1, 1979

Last certification

Feb 27, 2025

Beds

130

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

767 30TH St
Rock Island, IL 61201-1945

Nursing home name

ST ANTHONY'S NSG & REHAB CTR

Listed as

St Anthony'S NSG & Rehab CtrCCN 145387

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

13082.3 residents per day on average

Penalties (3 years)

7Fines totaling $557,075

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.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Matthew Anderson, DPT

  • Physical Therapist
  • Rock Island, IL
  • NPI 1184045031
  Medicare reassignment NPD
• Stephen D Harrison, M.D.

  • Family Medicine Physician
  • Fulton, IL
  • NPI 1649221508
  Medicare reassignment NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Stephen D Harrison, M.D.

  • Family Medicine Physician
  • Fulton, IL
  • NPI 1649221508

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1407598865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 30TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612011945",
            "telephone_number": "309-788-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 30TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612011945",
            "telephone_number": "309-788-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONYS REHABILITATION AND NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-315-5037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST ANTHONYS NSG AND REHAB CTR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST ANTHONYS NSG AND REHAB CTR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bing-Wen Soong
• Michael D. Spears, MD
• Jillian Elizabeth Spragg
• St Anthony'S Nursing & Rehab Center LLC.
• St Anthonys Physical Therapy LLC
• Kaitlyn Staley
• Andrew Starenko, CRNFA
• Merissa Dawn Stater
• James Thomas Stegmaier
• Rita Sterling, MCJ, CADC, CPS

• Skilled Nursing Facility in Rock Island, IL
• Providers in Rock Island, 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 Aug 6, 2025; 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.