OrganizationActive
Waters of Lebanon LLC
NPI 1629590310 · Skilled Nursing Facility · Lebanon, IN
Waters of Lebanon LLC is a Skilled Nursing Facility organization in Lebanon, IN (NPI 1629590310).
Provider details
- NPI number
- 1629590310
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Moishe Gubin, Owner(708) 449-1900
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1585 Perry Worth Rd
Lebanon, IN 46052-9635
Phone: (765) 482-6391
Street-level locationGet directions
Mailing address
240 Fencl Ln
Hillside, IL 60162-2067
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2017-07-13
Frequently asked questions
- What is Waters of Lebanon LLC's NPI number?
- Waters of Lebanon LLC's National Provider Identifier (NPI) is 1629590310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waters of Lebanon LLC?
- Waters of Lebanon LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Waters of Lebanon LLC located?
- Waters of Lebanon LLC's practice location on file with NPPES is 1585 Perry Worth Rd, Lebanon, IN 46052-9635.
- What is Waters of Lebanon LLC's phone number?
- The practice phone number listed in the NPPES registry for Waters of Lebanon LLC is (765) 482-6391.
- Who is the authorized official for Waters of Lebanon LLC?
- The authorized official listed on Waters of Lebanon LLC's NPPES record is Moishe Gubin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waters of Lebanon LLC's NPI active?
- Yes — Waters of Lebanon LLC's NPI (1629590310) is active in the NPPES registry as of the last update on 2017-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.