RIVER BLUFF OF CAHOKIA NURSING & REHABILITATION CENTER LLC — NPI 1275589822 (Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) in CAHOKIA, IL)

CMS-1500 Box 24J / 33a • NPI

1275589822

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3140N1450X (CMS A1[8])

Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)

Box 32 Service Location & ZIP+4

3354 JEROME LN, CAHOKIA, IL, 62206-2604

✓ 9-Digit EDI 837 ZIP+4 (62206-2604)

Practice Phone & Referral Fax

(618) 337-9823

Fax: (618) 332-1811

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1275589822 (RIVER BLUFF OF CAHOKIA NURSING & REHABILITATION CENTER LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1275589822` (NPI-2 Organization / Facility)
Provider / Legal Name	RIVER BLUFF OF CAHOKIA NURSING & REHABILITATION CENTER LLC
Plain-English Specialty	Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) NUCC Code: `3140N1450X` (Skilled Nursing Facility, Nursing Care, Pediatric)
Certifying / Licensing Body	CMS Five-Star Quality Rating System / State Department of Health
Practice Location Address	3354 JEROME LN, CAHOKIA, IL, 62206-2604
Practice Telephone / Fax	Tel: (618) 337-9823 \| Fax: (618) 332-1811
Administrative Mailing Address	3354 JEROME LN, CAHOKIA, IL, 62206-2604
Enumeration & Last Sync	Enumerated: 2006-05-25 \| CMS Record Updated: 2020-08-22
Authorized Official	KENYA WASHINGTON (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3354 JEROME LN, CAHOKIA, IL, 62206-2604

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Plain-English Taxonomy & CMS Crosswalk (3140N1450X)

What Does Taxonomy Code 3140N1450X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3140N1450X translates to:
"Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A1[8] (Skilled Nursing Facility)
Certifying / Accrediting Authority: CMS Five-Star Quality Rating System / State Department of Health
Clinical Scope: Inpatient rehabilitation and 24-hour skilled nursing care following major surgery, stroke, or prolonged hospitalization.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RIVER BLUFF OF CAHOKIA NURSING & REHABILITATION CENTER LLC)

Typical CPT / Diagnostic Procedures:

24-Hour Skilled Nursing Supervision, Enteral Nutrition & Pressure Ulcer Prevention
Post-Acute Orthopedic, Cardiac & Neurological Inpatient Rehabilitation

Common Therapeutic Classes:

Chronic Disease Maintenance Regimens, Analgesics & Thromboprophylaxis

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3140N1450X` — Skilled Nursing Facility, Nursing Care, Pediatric Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: IL \| License: `0045005` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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RIVER BLUFF OF CAHOKIA NURSING & REHABILITATION CENTER LLC (NPI #1275589822)