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

Waters of Lebanon LLC

Organization Skilled Nursing Facility · NPI 1629590310

Waters of Lebanon LLC is a Skilled Nursing Facility in Lebanon, Indiana. Registered with an NPI since 2017.

In the registry since
2017
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

1585 Perry Worth Rd
Lebanon, IN 46052-9635
Phone: (765) 482-6391
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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

Record details

NPI number1629590310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moishe Gubin — Owner · (708) 449-1900
NPI enumeratedJuly 13, 2017
Last updated in NPPESJuly 13, 2017
Mailing address240 Fencl Ln, Hillside, IL 60162-2067

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