Heartland Nursing & Rehabilitation LLC
Organization Active NPI Skilled Nursing Facility · Casey, IL
NPI 1578036695 · NPPES record last updated Jan 11, 2019
Key facts
- NPI
- 1578036695
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- HEARTLAND NURSING & REHABILITATION LLC
- Practice address
- 410 NW 3Rd St
Casey, IL 62420-1014 - Phone
- (217) 932-4081
- Fax
- (217) 932-4922
- NPI assigned
- Jan 11, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Scott E Stout, LNHA
- Title
- Ceo
- Phone
- (618) 294-8696
Facilities with the same owner 12
Affiliated clinicians 2
-
David P Davis, MD
Medicare Care Compare: Nursing home
- Listed as
- Heartland Nursing & Rehab
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 1981
- Certified beds
- 81 · 50.9 residents per day on average
- Chain
- WLC Management Firm
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2170707 | Heartland Nursing & Rehabilitation, L L C | Certificate of waiver | Aug 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 145416
- Legal name
- HEARTLAND NURSING & REHABILITATION LLC
- Doing business as
- HEARTLAND NURSING & REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1981
- Last certification
- Dec 13, 2024
- Beds
- 81
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- WLC Corporation
- Most recent change of ownership
- Mar 1, 2019
- Organization structure
- LLC · Proprietary
- Incorporated
- Jan 9, 2019 in IL
- Enrollment address
- 410 NW 3Rd St
Casey, IL 62420-1014 - Nursing home name
- HEARTLAND NURSING & REHAB
- Affiliated entity
- WLC MANAGEMENT FIRM
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Scott E Stout |
5% Or Greater Indirect Ownership Interest | Mar 1, 2018 | 100% |
| Corporate Officer |
Mar 1, 2019 | 100% | |
| Operational/Managerial Control |
Mar 1, 2019 | 100% | |
| WLC Management Firm LLC |
5% Or Greater Direct Ownership Interest | Mar 1, 2019 | 100% |
| Operational/Managerial Control | Mar 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190320003145 | IL | Part a Provider - Skilled Nursing Facility | 8820338262 | Practice locations: Casey, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
410 NW 3Rd St
Casey, IL 62420-1014
Mailing address
215 E Locust St
Harrisburg, IL 62946-1504
Phone (618) 294-8696
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14-5416 | Other | IL | MEDICAID ICF/DD CERTIFICATION |
Other names
- Heartland Nursing & Rehabilitation
Other providers in Casey, IL
- Robert Lee Dougherty
- Kristi Esker
- Makenzie Alicen Goble
- Cory D Hanley
- Heartland Manor Inc Nursing Center
- Carla Sue Honselman
- Karen S Huddlestun
- Justin Janney
- Katie Karnes
- Kids Home Care, Inc.
All providers in Casey, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.