Cobden Rehabilitation and Nursing Center, LLC
Organization Active NPI Skilled Nursing Facility · Cobden, IL
NPI 1861597700 · NPPES record last updated Mar 29, 2011
Key facts
- NPI
- 1861597700
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0041491 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Steven Blisko
- Title
- C.F.O
- Phone
- (708) 236-0000
Owners & managing parties with NPI records 1
-
Christopher James Hanson, M.D., M.B.A
Facilities with the same owner 14
Affiliated clinicians 1
-
Christopher James Hanson, M.D., M.B.A
Medicare Care Compare: Nursing home
- Listed as
- Integrity HC of Cobden
- 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
- Active
- Certified beds
- 74 · 64.8 residents per day on average
- Chain
- Integrity Healthcare Communities
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0876922 | Cobden Rehabilitation and Nursing Center | Certificate of waiver | Sep 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
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
- LLC · Proprietary
- 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
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| A&F Realty LLC |
5% Or Greater Direct Ownership Interest | Dec 31, 2025 | |
| Christopher James Hanson |
Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 | ||
| Kelly Kelley |
Operational/Managerial Control | Oct 14, 2013 | |
| Adp of the SNF | Oct 14, 2013 | ||
| Sherry L Belcher |
Operational/Managerial Control | Jul 24, 2018 | |
| Adp of the SNF | Jan 9, 2026 | ||
| Alan Jason Irni |
Operational/Managerial Control | Oct 1, 2010 | |
| Adp of the SNF | Oct 1, 2010 | ||
| Steven Blisko |
5% Or Greater Direct Ownership Interest | Jun 1, 2010 | 60% |
| Adp of the SNF | Jan 1, 2021 | ||
| Direct Ownership Interest | Jan 1, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110119000618 | IL | Part a Provider - Skilled Nursing Facility | 6800075136 | Practice locations: Cobden, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0041491 | IL | Yes |
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
- The Willow of Cobden, inc
Other providers in Cobden, IL
- Adapt of Illinois, Inc.
- Juan Eduardo Arreola Jr.
- Cobden SCH Unit Dist 17
- Cobden Unit School District 17
- Cheryl E Connolly
- Mikayla Micole Dammerman
- Dee Dillon
All providers in Cobden, 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 Mar 29, 2011. 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.