Organization Active NPI

Cass County Senior Living & Rehabilitation LLC

  • Skilled Nursing Facility
  • Virginia, IL
National Provider Identifier
1780489732
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CASS COUNTY SENIOR LIVING & REHABILITATION LLC
Practice address
530 E Beardstown St
Virginia, IL 62691-1400
Phone
(217) 452-3218
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Scott E Stout, LNHA
Title
Ceo/Owner
Phone
(618) 713-5284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

530 E Beardstown St
Virginia, IL 62691-1400

Mailing address

35 S Vine St
Harrisburg, IL 62946-1738
Phone (618) 713-5284

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250616001788 IL Part A Provider - Skilled Nursing Facility 0244741494 Practice locations: Virginia, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780489732. Details of each certification follow.

Skilled nursing facility certification: CCN 146100

Legal name
CASS COUNTY SENIOR LIVING & REHABILITATION LLC
Doing business as
WLC MANAGEMENT FIRM
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 20, 2006
Last certification
Dec 12, 2024
Beds
71
Ownership / control type
Limited Liability Corporation
Multi-facility organization
WLC Mgmnt Firm
Organization structure
LLC
Enrollment address
530 E Beardstown St
Virginia, IL 62691-1400
Nursing home name
CASS COUNTY SENIOR LIVING & REHABILITATION LLC
Affiliated entity
WLC MANAGEMENT FIRM

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cass County Senior Living & Rehabilitation LLCCCN 146100 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 20, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7128.1 residents per day on average
Chain
WLC Management Firm18 facilities in the chain

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
14D0896553Cass County Senior Living & Rehabilitation LLC530 E Beardstown St, Virginia, IL 62691Certificate of waiverJan 11, 2027

National Provider Directory

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
Jennifer S Schroeder Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Scott E Stout Individual Operational/Managerial Control Mar 1, 2025
Direct Ownership Interest Mar 1, 2025 100%
Ashley Pherigo Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Bryan White Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
WLC Management Firm LLC Organization, Harrisburg, IL LLC, Management services company Operational/Managerial Control Mar 1, 2025
Adp of the SNF May 21, 2025
Lon Lindner Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Michelle Tweedy Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Alice Broster Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025

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 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1780489732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S VINE ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629461738",
            "telephone_number": "618-713-5284",
            "fax_number": "618-294-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E BEARDSTOWN ST",
            "city": "VIRGINIA",
            "state": "IL",
            "postal_code": "626911400",
            "telephone_number": "217-452-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS COUNTY SENIOR LIVING & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "618-713-5284",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, IL

Sources for this page

Verify at the official NPI Registry.