Imboden Creek Senior Living & Rehabilitation LLC
NPI 1790446383ActiveOrganization· Skilled Nursing Facility· Decatur, IL
Skilled Nursing Facility in Decatur, Illinois, registered in NPPES in January 2022. The authorized official on file is Scott E. Stout, LNHA, Owner. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1790446383 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2022 |
| Last updated in NPPES | Apr 25, 2022 |
| Certified by provider | Apr 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (IL) |
|---|
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