Active NPI
Cass County Senior Living & Rehabilitation LLC
- Skilled Nursing Facility
- Virginia, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 20, 2006
- Medicare certification status
- Active
- Certified beds
- 71
- Chain
- WLC Management Firm
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0896553 | Cass County Senior Living & Rehabilitation LLC | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer S Schroeder | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Scott E Stout | Operational/Managerial Control | Mar 1, 2025 | |
| Direct Ownership Interest | Mar 1, 2025 | 100% | |
| Ashley Pherigo | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Bryan White | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| WLC Management Firm LLC | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | May 21, 2025 | ||
| Lon Lindner | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Michelle Tweedy | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Alice Broster | 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.
-
- Family Medicine Physician
- Mt Sterling, IL
- NPI 1003889957
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Fairfield, IL
- NPI 1639907264
WLC Management Firm LLC
-
- Skilled Nursing Facility
- Vienna, IL
- NPI 1679357537
WLC Management Firm LLC
-
dba Three Springs Senior Living & Rehabilitation
- Skilled Nursing Facility
- Chester, IL
- NPI 1881386670
WLC Management Firm LLC
-
- Skilled Nursing Facility
- Carmi, IL
- NPI 1902680069
WLC Management Firm LLC
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
- Cass County Public Health Department (Cass County Health Clinic)
- Cass County Public Health Dept (Cass County Health Clinic)
- Cass County Public Health Dept
- Cass County Public Health Dept (Cass Schuyler Area Hospice)
- Cass County School Health Center
- Dirck A Curry, DO
- Emily Eichelberger, APN
- David Heriford, PA
- Jack Dee Hollada, D.C.
- Hayley J Jones, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.