Southern Illinois Nursing & Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTHERN ILLINOIS NURSING & REHAB LLC

Practice address

900 E 9TH St
Metropolis, IL 62960-2700

Phone

(618) 524-2683

NPI assigned

Nov 20, 2025

Last updated

Nov 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shadiy Malik

Title

Owner

Phone

(573) 335-3044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1558222414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014403",
            "telephone_number": "573-335-3044",
            "fax_number": "573-335-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 9TH ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629602700",
            "telephone_number": "618-524-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS NURSING & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHADIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-335-3044"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige C Shearer
• Cicely Ronielle Shelton
• John Howard Shelton, D.M.D.
• Jennifer Shoemate, M.S., CCC-SLP
• Laura Dawn Sielbeck, MS/CCC-SLP
• Southern Illinois Oxygen & Med Supplies
• Southgate Health Care Center, Inc
• Thomas Waldon Staton, M.D.
• Dylan Wade Street
• Ashley Dawn Suggs, APRN

• Skilled Nursing Facility in Metropolis, IL
• Providers in Metropolis, 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 Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.