NPIMap

Organization Active NPI

Rushville Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Rushville, IL
National Provider Identifier
1679959357
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RUSHVILLE NURSING AND REHABILITATION CENTER LLC
Practice address
135 S Morgan St
Rushville, IL 62681-1617
Phone
(217) 322-3420
Fax
(217) 322-2828
NPI assigned
Aug 5, 2015
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Sherwin Ray
Title
Owner
Phone
(847) 905-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 145488 IL
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

135 S Morgan St
Rushville, IL 62681-1617

Mailing address

2201 Main St
Evanston, IL 60202-1519
Phone (847) 905-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150914001187 IL Part A Provider - Skilled Nursing Facility 1759698483 Practice locations: Rushville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679959357. Details of each certification follow.

Skilled nursing facility certification: CCN 145488

Legal name
RUSHVILLE NURSING AND REHABILITATION CENTER LLC
Doing business as
RUSHVILLE NURSING AND REHAB CTR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 1, 1984
Last certification
Apr 9, 2025
Beds
99 (96 certified)
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Aug 1, 2015
Organization structure
LLCProprietary
Enrollment address
135 S Morgan St
Rushville, IL 62681-1617
Nursing home name
RUSHVILLE NURSING & REHAB CTR
Affiliated entity
ATIED ASSOCIATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rushville Nursing & Rehab CtrCCN 145488 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9674.2 residents per day on average
Chain
Atied Associates12 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0889680Rushville Nursing & Rehabilitation Center135 South Morgan Street, Rushville, IL 62681Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Rushville Nursing and Rehabilitation Center LLC2 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.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Extended Care Clinical LLC Organization, Evanston, IL LLC Adp of the SNF Aug 1, 2015
Atied Associates LLC Organization, Evanston, IL LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2015 40%
Adp of the SNF Aug 1, 2015
Extended Care Consulting LLC Organization, Evanston, IL LLC Adp of the SNF Aug 1, 2015
Organization, Chicago, IL Adp of the SNF Sep 19, 2025
William H Dixon Individual Operational/Managerial Control May 1, 2020
Adp of the SNF May 1, 2020
Sherwin Ray Individual 5% Or Greater Direct Ownership InterestOwner Aug 1, 2015 60%
Adp of the SNF Aug 1, 2015
Shelby Baker Individual Operational/Managerial Control Jan 23, 2023
Adp of the SNF Jan 23, 2023
Shiftkey LLC Organization, Irving, TX LLC Adp of the SNF Mar 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 40

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 40

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1679959357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021519",
            "telephone_number": "847-905-4000",
            "fax_number": "847-905-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S MORGAN ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811617",
            "telephone_number": "217-322-3420",
            "fax_number": "217-322-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHVILLE NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-905-4000"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "145488",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IL

Sources for this page

Verify at the official NPI Registry.