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ODD FELLOW REBEKAH HOME
NPI 1063756799
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Mattoon, IL

Active since November 19, 2012CLIA 14D0723858 · Waiver
201 LAFAYETTE AVE E, MATTOON, IL 61938(217) 235-5449(217) 235-0611 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2018, Oct 18, 2016 (2 updates tracked since 2016).

About Odd Fellow Rebekah Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODD FELLOW REBEKAH HOME (NPI 1063756799) is a healthcare organization registered as an oxygen equipment & supplies in Mattoon, Illinois and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Underwood, Exec Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063756799
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameINDEPENDENT ORDER OF ODD FELLOWS
Location Address201 LAFAYETTE AVE EMattoon, IL 61938-4641
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-5477
Phone(217) 235-5449
Fax(217) 235-0611
Organization SubpartNo
Authorized OfficialDavid UnderwoodExec Vp, Cfo · (309) 823-7135
Enumeration DateNovember 19, 2012
Last NPPES UpdateJanuary 11, 20182 updates tracked since enumeration
✔ NPI 1063756799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
201 LAFAYETTE AVE E, Mattoon, IL 61938
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Other Names 1

Doing Business AsOdd Fellow Rebekah Home

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0723858

Odd Fellow Rebekah Home · Mattoon, IL
Active · expires Aug 31, 2026
CLIA Number14D0723858
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDavid Standerfer
Laboratory Phone(217) 235-5449
Laboratory LocationOdd Fellow Rebekah Home201 Lafayette Ave East, Mattoon, IL 61938
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN CHRISTINE DETERS
Physical Therapy Assistant
201 LAFAYETTE AVE E
MATTOON, IL 61938
Coles County (217) 235-5449
JANEAN MARIE KARPUS
Physical Therapist
201 LAFAYETTE AVE E
MATTOON, IL 61938
Coles County (217) 235-5449
MISS BRANDI NICOLE HOBBS COTA/L
Occupational Therapy Assistant
201 LAFAYETTE AVE E
MATTOON, IL 61938
Coles County (217) 235-5449
JACILYN C DYE
Occupational Therapy Assistant
201 LAFAYETTE AVE E
MATTOON, IL 61938
Coles County (217) 235-5449
CHELSEA MARIE SIMPSON
Occupational Therapy Assistant
201 LAFAYETTE AVE E
MATTOON, IL 61938
Coles County (217) 235-5449
INDEPENDENT ORDER OF ODD FELLOWS
Skilled Nursing Facility
201 LAFAYETTE AVE E
MATTOON, IL 61938
Coles County (217) 235-5449
CALEB IAN HUDSON COTA
Occupational Therapy Assistant
201 LAFAYETTE AVE E
MATTOON, IL 61938
Coles County (217) 235-5449
MRS. KYLA JO STEFFEN
Physical Therapy Assistant
201 LAFAYETTE AVE E
MATTOON, IL 61938
Coles County (217) 235-5549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independent Order Of Odd Fellows's NPI number?

The NPI number for Independent Order Of Odd Fellows is 1063756799. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Odd Fellow Rebekah Home.

Where is Independent Order Of Odd Fellows located?

Independent Order Of Odd Fellows is located at 201 Lafayette Ave E, Mattoon, IL 61938. The listed phone number is (217) 235-5449.

What is Independent Order Of Odd Fellows's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Does Independent Order Of Odd Fellows hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0723858) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Independent Order Of Odd Fellows was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.