Lebanon Healthcare LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LEBANON HEALTHCARE LLC

Doing business as

Alvarado Healthcare

Practice address

110 W Saint Louis St
Lebanon, IL 62254-1559

Phone

(618) 654-4520

Fax

(618) 654-1063

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Marcus Alvarado, DCNPI 1386181469

Title

Owner

Phone

(618) 304-7395

Specialties & licenses 1

Addresses

Other names 1

• Alvarado Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 5

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

• Marcus Daniel Alvarado, D.C.

  • Chiropractor
  • Highland, IL
  • NPI 1386181469
  Medicare reassignment Care Compare group NPD Authorized official
• Emily J Odom, D.C.

  • Chiropractor
  • Lebanon, IL
  • NPI 1275990780
  Medicare reassignment Care Compare group NPD
• Blake William Randles, D.C.

  • Gerontology Nurse Practitioner
  • Carlinville, IL
  • NPI 1679886675

  Chiropractor

  Medicare reassignment NPD
• Isaac Strole, DC

  • Chiropractor
  • Highland, IL
  • NPI 1336910355
  NPD
• Dale A Fischer, DC

  • Chiropractor
  • Lebanon, IL
  • NPI 1841294436
  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1427892090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 WASHINGTON ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491925",
            "telephone_number": "618-654-4520",
            "fax_number": "618-654-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SAINT LOUIS ST",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541559",
            "telephone_number": "618-654-4520",
            "fax_number": "618-654-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-304-7395",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alvarado Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Joseph Klinsky, O.D.
• Lebanon Chiropractic Clinic PC
• Lebanon Community Unit School District 9
• Lebanon Hco, LLC
• Lebanon Hco, LLC (Lebanon Care Center)
• Lebanon Optometric Center, LLC (Lebanon Optometric Center)
• Lebanon Terrace
• Abigail Maurer, ATC
• Jennifer Meyer, M.S., CCC-SLP
• Lucas Ray Moake

• Chiropractor in Lebanon, IL
• Providers in Lebanon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.