Lebanon Care Center – Skilled Nursing Facility, NPI 1679550644

Lebanon Care Center is a healthcare provider. based in Peoria, Illinois. specializing in Skilled Nursing Facility. The organization holds a License No. 0016964 (IL). The NPI Number for Lebanon Care Center is 1679550644

Main info

Organization
Name
Lebanon Care Center
NPI
1679550644
Phone
(309) 691-8113
Address
830 W TRAILCREEK DR
Authorized Official
MARK B. PETERSEN MANAGER
Enumeration Date
29 December 2005
Last Update Date
11 September 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Lebanon Care Center

  • West Trailcreek Drive, Peoria, Peoria County, Illinois, 61625, United States

    PEORIA, IL 616141862

    Phone: (309) 691-8113

    Fax: (309) 691-8622

    Type: Mailing

  • North Alton Street, Lebanon, Saint Clair County, Illinois, 62254, United States

    LEBANON, IL 622541103

    Phone: (618) 537-4401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61614)

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Reviews

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Frequently asked questions

What is the registry number for Lebanon Care Center?
The registry entry for Lebanon Care Center shows NPI 1679550644.
Quick check: is Lebanon Care Center active?
Public NPPES data shows Lebanon Care Center with an active NPI status right now.
Which specialty label fits Lebanon Care Center?
NPPES ties Lebanon Care Center to Skilled Nursing Facility in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Lebanon Care Center tied to Peoria, Illinois?
If you are local to Peoria, Illinois, Lebanon Care Center may be relevant to your search.
Can I export Lebanon Care Center's record?
You can download the official NPPES record; we summarize key fields for readability.

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