NPIMap

Organization Active NPI

Cobden Rehabilitation and Nursing Center, LLC

  • Skilled Nursing Facility
  • Cobden, IL
National Provider Identifier
1861597700
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0041491 Issued in IL
Legal business name
COBDEN REHABILITATION AND NURSING CENTER, LLC
Practice address
430 S Front St
Cobden, IL 62920-2415
Phone
(618) 893-4214
Fax
(618) 893-1604
NPI assigned
Sep 14, 2006
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Mr. Steven Blisko
Title
C.F.O
Phone
(708) 236-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0041491 IL Primary

Addresses

Primary practice location

430 S Front St
Cobden, IL 62920-2415

Mailing address

8707 Skokie Blvd
Suite 310
Skokie, IL 60077-2269
Phone (708) 236-0000

Other names 1

  • The Willow of Cobden, inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119000618 IL Part A Provider - Skilled Nursing Facility 6800075136 Practice locations: Cobden, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861597700. Details of each certification follow.

Skilled nursing facility certification: CCN 145922

Legal name
COBDEN REHABILITATION AND NURSING CENTER, LLC
Doing business as
COBDEN NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 1, 1997
Last certification
Nov 15, 2024
Beds
74
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Jun 1, 2010 in IL
Enrollment address
430S Front St
Cobden, IL 62920-2415
Nursing home name
INTEGRITY HC OF COBDEN
Affiliated entity
INTEGRITY HEALTHCARE COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Integrity HC of CobdenCCN 145922 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7464.8 residents per day on average
Chain
Integrity Healthcare Communities5 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
14D0876922Cobden Rehabilitation and Nursing Center430 South Front Street, Cobden, IL 62920Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
A&F Realty LLC Organization, South Bend, IN 5% Or Greater Direct Ownership Interest Dec 31, 2025
Christopher James Hanson Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Kelly Kelley Individual Operational/Managerial Control Oct 14, 2013
Adp of the SNF Oct 14, 2013
Sherry L Belcher Individual Operational/Managerial Control Jul 24, 2018
Adp of the SNF Jan 9, 2026
Alan Jason Irni Individual Operational/Managerial Control Oct 1, 2010
Adp of the SNF Oct 1, 2010
Steven Blisko Individual 5% Or Greater Direct Ownership Interest Jun 1, 2010 60%
Adp of the SNF Jan 1, 2021
Direct Ownership Interest Jan 1, 2021 100%

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 14

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

View all 14

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1861597700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD",
            "address_2": "SUITE 310",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772269",
            "telephone_number": "708-236-0000",
            "fax_number": "708-236-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S FRONT ST",
            "city": "COBDEN",
            "state": "IL",
            "postal_code": "629202415",
            "telephone_number": "618-893-4214",
            "fax_number": "618-893-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBDEN REHABILITATION AND NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "BLISKO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "C.F.O",
        "authorized_official_telephone_number": "708-236-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0041491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Willow of Cobden, inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cobden, IL

Sources for this page

Verify at the official NPI Registry.