Freeburg Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FREEBURG CARE CENTER INC

Practice address

746 Urbanna Dr
Freeburg, IL 62243-1904

Phone

(618) 539-5856

Fax

(618) 539-3412

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Roger W Bagley

Title

Controller

Phone

(618) 549-8331

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Skilled nursing facility certification: CCN 145515

Legal name

FREEBURG CARE CENTER INC

Doing business as

DINING RD, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Dec 19, 1984

Last certification

Aug 30, 2024

Beds

118

Ownership / control type

Limited Liability Corporation

Organization structure

CorporationProprietary

Incorporated

Mar 14, 1979 in IL

Enrollment address

746 Urbanna Dr
Freeburg, IL 62243-1904

Nursing home name

LA BELLA OF FREEBURG

Listed as

La Bella of FreeburgCCN 145515

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 19, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11893.2 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

7Fines totaling $142,446

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Freeburg Care Center2 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.

• Freeburg Care Center Inc

  • Durable Medical Equipment & Medical Supplies
  • Freeburg, IL
  • NPI 1982738837
  NPD tax ID

All disclosed owners & managing parties 30

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

Affiliated clinicians 1

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

• Amardeep Shrestha, M.D.

  • Internal Medicine Physician
  • O Fallon, IL
  • NPI 1730490525

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528067865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 URBANNA DR",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622431904",
            "telephone_number": "618-539-5856",
            "fax_number": "618-539-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 URBANNA DR",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622431904",
            "telephone_number": "618-539-5856",
            "fax_number": "618-539-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEBURG CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "618-549-8331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Counseling Center of Southwestern Illinois Inc
• Raymond Danford, RPH
• Tracey Lynn Drennen-Alexander, D.C.
• Anthony Duvergel
• Gayla Renea Fields, M.S., LCPC
• Freeburg Care Center Inc
• Freeburg Community Consolidated School Dist. No. 70
• Freeburg Community High School
• Freeburg Nursing and Rehab LLC
• Freeburg Vision Center, Inc.

• All providers in Freeburg, IL
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.