Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lebanon Hco, LLC

Organization Skilled Nursing Facility · NPI 1679550644

Lebanon Hco, LLC is a Skilled Nursing Facility in Lebanon, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1201 N Alton St
Lebanon, IL 62254-1103
Phone: (618) 537-4401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0016964 (IL)

Record details

NPI number1679550644
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Petersen — Manager · (309) 689-5880
Other names Lebanon Care Center; Lebanon Care Center
NPI enumeratedDecember 29, 2005
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020
Mailing address830 W Trailcreek Dr, Peoria, IL 61614-1862

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