Marion Rehabilitation and Nursing Center,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0040642 Issued in IL

Legal business name

MARION REHABILITATION AND NURSING CENTER,LLC

Practice address

1301 E Deyoung St
Marion, IL 62959-3846

Phone

(618) 997-1365

Fax

(618) 998-9300

NPI assigned

Sep 14, 2006

Last updated

Mar 29, 2011By 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

Mr. Steven Blikso

Title

C.F.O

Phone

(708) 236-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willow of the Fountain Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922103589. Details of each certification follow.

• CCN 145863 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145863

Legal name

MARION REHABILITATION AND NURSING CENTER,LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 1996

Last certification

Jun 16, 2025

Beds

125

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Integrity Healthcare

Most recent change of ownership

Jun 1, 2010

Organization structure

LLCProprietary

Incorporated

Jun 1, 2010 in IL

Enrollment address

1301 E Deyoung St
Marion, IL 62959-3846

Nursing home name

INTEGRITY HC OF MARION

Affiliated entity

INTEGRITY HEALTHCARE COMMUNITIES

Listed as

Integrity HC of MarionCCN 145863 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

125111.1 residents per day on average

Chain

Integrity Healthcare Communities5 facilities in the chain

Special focus status

SFF Candidate

Penalties (3 years)

4Fines totaling $472,196

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Christopher James Hanson, M.D., M.B.A

  • Family Medicine Physician
  • Carbondale, IL
  • NPI 1447514971

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Christopher James Hanson, M.D., M.B.A

  • Family Medicine Physician
  • Carbondale, IL
  • NPI 1447514971

  Nursing home

  Care Compare affiliation
• Khalid Javed, M.D.

  • Internal Medicine Physician
  • Johnston City, IL
  • NPI 1174529663

  Nursing home

  Care Compare affiliation

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": "1922103589",
    "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": "1301 E DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629593846",
            "telephone_number": "618-997-1365",
            "fax_number": "618-998-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION REHABILITATION AND NURSING CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "BLIKSO",
        "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": "0040642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "6003230",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow of the Fountain",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marion Hospital Corporation (Heartland Regional Medical Center)
• Marion Hospital Corporation (Heartland Regional Medical Center)
• Marion Medical Xray
• Marion Obstetrics & Gynecology, LTD
• Marion Pediatric Clinic SC
• Marion Surgery Center LTD
• Marion Surgery Center LTD
• Marion VA Medical Center
• Marion Vamc
• Marion Veterans Affairs

• Skilled Nursing Facility in Marion, IL
• Providers in Marion, 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 Mar 29, 2011; 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.