Clark-Lindsey Village, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1674035 Issued in IL

Legal business name

CLARK-LINDSEY VILLAGE, INC.

Practice address

101 W Windsor Rd
Urbana, IL 61802-6663

Phone

(217) 344-2144

Fax

(217) 344-9147

NPI assigned

Jun 14, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Reardanz, C.P.A.

Title

Vice President/Cfo

Phone

(217) 344-2144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922003326. Details of each certification follow.

• CCN 145381 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145381

Legal name

CLARK-LINDSEY VILLAGE INC

Doing business as

CLARK-LINDSAY VILLAGE INC

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Sep 18, 1979

Last certification

Feb 6, 2025

Beds

105 (25 certified)

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 20, 1970 in IL

Enrollment address

101 W Windsor Rd
Urbana, IL 61802-6697

Nursing home name

CLARK-LINDSEY VILLAGE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Clark-Lindsey Village Inc.

  • Rehabilitation Clinic/Center
  • Urbana, IL
  • NPI 1033565882

  9638342660

  Same PAC ID

Listed as

Clark-Lindsey VillageCCN 145381 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare

Ownership

Non profit - Corporation

Certified

Sep 18, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2523.9 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

4Fines totaling $94,488

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Clark-Lindsey Village Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clark-Lindsey Village Inc.

  • Rehabilitation Clinic/Center
  • Urbana, IL
  • NPI 1033565882
  NPD tax ID

All disclosed owners & managing parties 16

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Clark-Lindsey Village Inc.

  • Rehabilitation Clinic/Center
  • Urbana, IL
  • NPI 1033565882
  NPPES parent name

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Karleen Marie McNeal, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Champaign, IL
  • NPI 1972611838

  Nursing home

  Care Compare affiliation
• Aimee C Yu-Ballard, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Urbana, IL
  • NPI 1083675045

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922003326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W WINDSOR RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026663",
            "telephone_number": "217-344-2144",
            "fax_number": "217-344-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W WINDSOR RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026663",
            "telephone_number": "217-344-2144",
            "fax_number": "217-344-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK-LINDSEY VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REARDANZ",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "217-344-2144",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1674035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Phyllis Ciambotti, L.C.S.W.
• William Cifuentes, MD
• Felix J Cimakasky, CRNA
• Audra Leigh Cisna, RDN
• Clark-Lindsey Village Inc.
• Jo Lynne Clauson, RPH
• Kristen Claybrooke
• Carrie Marie Clements, OTA/L
• Lena Marie Clements, CRNA
• Paige Cler, NP

• Skilled Nursing Facility in Urbana, IL
• Providers in Urbana, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.