Lakeside Health and Rehab Center LLC
NPI 1780374736 · Skilled Nursing Facility · Carlinville, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Health and Rehab Center LLC is a Skilled Nursing Facility organization in Carlinville, IL (NPI 1780374736).
Provider details
- NPI number
- 1780374736
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Shully Lichtman, Manager of the Manager(217) 854-4433
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-05-12
- Last updated
- 2023-05-12
- Certified
- 2023-05-12
Frequently asked questions
- What is Lakeside Health and Rehab Center LLC's NPI number?
- Lakeside Health and Rehab Center LLC's National Provider Identifier (NPI) is 1780374736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Health and Rehab Center LLC?
- Lakeside Health and Rehab Center LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lakeside Health and Rehab Center LLC located?
- Lakeside Health and Rehab Center LLC's practice location on file with NPPES is 1200 University St, Carlinville, IL 62626-9600.
- What is Lakeside Health and Rehab Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Health and Rehab Center LLC is (217) 854-4433.
- Does Lakeside Health and Rehab Center LLC accept Medicare?
- Lakeside Health and Rehab Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Health and Rehab Center LLC?
- The authorized official listed on Lakeside Health and Rehab Center LLC's NPPES record is Shully Lichtman, Manager of the Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Health and Rehab Center LLC's NPI active?
- Yes — Lakeside Health and Rehab Center LLC's NPI (1780374736) is active in the NPPES registry as of the last update on 2023-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.