Henderson County Retirement Center, Inc.
Organization Active NPI Skilled Nursing Facility · Stronghurst, IL
NPI 1720145592 · NPPES record last updated Apr 17, 2014
Key facts
- NPI
- 1720145592
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 000035246 (IL)
- Legal business name
- HENDERSON COUNTY RETIREMENT CENTER, INC.
- Practice address
- 604 Oakwood Dr
Stronghurst, IL 61480-0030 - Phone
- (309) 924-1123
- Fax
- (309) 924-1926
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard W. Clifton
- Title
- Administrator
- Phone
- (319) 924-1123
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Henderson County Ret Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 2006
- Medicare certification status
- Active
- Certified beds
- 58 · 37.3 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0431456 | Henderson County Retirement Center Inc | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 146103
- Legal name
- HENDERSON COUNTY RETIREMENT CENTER, INC.
- Doing business as
- OAKLANE NURSING & REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 2006
- Last certification
- Apr 2, 2025
- Beds
- 58
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Henderson County Retirement Center, IN
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 7, 1985 in IL
- Enrollment address
- 604 Oakwood Dr
Stronghurst, IL 61480 - Nursing home name
- HENDERSON COUNTY RET CENTER
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Valerie Ann Lybarger-Adams |
W-2 Managing Employee |
May 11, 2016 | |
| Diana Doran |
Corporate Officer |
Jan 24, 2013 | |
| Corporate Director | May 1, 2006 | ||
| Cindy Sue Leake |
Corporate Director | Jun 1, 2017 | |
| Jayne Olson |
Corporate Director | Jul 1, 2016 | |
| Tom Pullen |
Corporate Director |
Aug 17, 2009 | |
| Mary Reed |
Corporate Officer |
Jun 18, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060501000341 | IL | Part a Provider - Skilled Nursing Facility | 3072523497 | Practice locations: Stronghurst, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 000035246 | IL | Yes |
Addresses
Primary practice location
604 Oakwood Dr
Stronghurst, IL 61480-0030
Mailing address
604 Oakwood Dr
PO Box 30
Stronghurst, IL 61480-0030
Phone (309) 924-1123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14A442 | Other | IL | PROVIDER NUMBER |
Other names
- OAKLANE NURSING & REHAB
Other providers in Stronghurst, IL
- Jeanne Kay Barr
- Amanda Baucom
- Brent Family Pharmacy Inc
- Henderson County Ambulance Service Inc
- Henderson County Retirement Center, Inc
- Henderson County Rural Health Center Inc
- Kjersten Heron
- Justine Link
- Kersden Loretoni
- Jennifer Rose Carroll Reed
All providers in Stronghurst, 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 Apr 17, 2014. 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.