OrganizationActive
Lebanon Hco, LLC
NPI 1679550644 · Skilled Nursing Facility · Lebanon, IL
Lebanon Hco, LLC is a Skilled Nursing Facility organization in Lebanon, IL (NPI 1679550644).
Provider details
- NPI number
- 1679550644
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Petersen, Manager(309) 689-5880
- License
- 0016964 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1201 N Alton St
Lebanon, IL 62254-1103
Phone: (618) 537-4401
Street-level locationGet directions
Mailing address
830 W Trailcreek Dr
Peoria, IL 61614-1862
Other names (DBA / former)
- Doing business as
- Lebanon Care Center
- Doing business as
- Lebanon Care Center
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2020-09-11
- Certified
- 2020-09-11
Frequently asked questions
- What is Lebanon Hco, LLC's NPI number?
- Lebanon Hco, LLC's National Provider Identifier (NPI) is 1679550644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lebanon Hco, LLC?
- Lebanon Hco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lebanon Hco, LLC located?
- Lebanon Hco, LLC's practice location on file with NPPES is 1201 N Alton St, Lebanon, IL 62254-1103.
- What is Lebanon Hco, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lebanon Hco, LLC is (618) 537-4401.
- Who is the authorized official for Lebanon Hco, LLC?
- The authorized official listed on Lebanon Hco, LLC's NPPES record is Mark Petersen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lebanon Hco, LLC's NPI active?
- Yes — Lebanon Hco, LLC's NPI (1679550644) is active in the NPPES registry as of the last update on 2020-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.