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ACCOLADE HEALTHCARE OF PONTIAC LLC
NPI 1073035085
Skilled Nursing Facility in Pontiac, IL

Active since July 11, 2017CLIA 14D2086399 · Waiver
300 W LOWELL AVE, PONTIAC, IL 61764(815) 842-1181(815) 842-3406 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2017, Jul 11, 2017 (2 updates tracked since 2017).

About Accolade Healthcare Of Pontiac Llc NPPES

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

ACCOLADE HEALTHCARE OF PONTIAC LLC (NPI 1073035085) is a healthcare organization registered as a skilled nursing facility in Pontiac, Illinois and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Moshe Freedman, Manager, as its authorized official.

NPPES Registry Identity

NPI1073035085
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameACCOLADE HEALTHCARE OF PONTIAC LLC
Location Address300 W LOWELL AVEPontiac, IL 61764-2614
Mailing Address300 W Lowell AvePontiac, IL 61764-2614
Phone(815) 842-1181
Fax(815) 842-3406
Organization SubpartNo
Authorized OfficialMoshe FreedmanManager · (973) 557-3337
Enumeration DateJuly 11, 2017
Last NPPES UpdateMarch 28, 20222 updates tracked since enumeration
NPPES CertifiedMarch 28, 2022
✔ NPI 1073035085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
300 W LOWELL AVE, Pontiac, IL 61764
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D2086399

Accolade Healthcare Of Pontiac · Pontiac, IL
Active · expires Jun 22, 2027
CLIA Number14D2086399
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorJamie L. Patton
Laboratory Phone(815) 842-1181
Laboratory LocationAccolade Healthcare Of Pontiac300 W Lowell Ave, Pontiac, IL 61764
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 4

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

PONTIAC HEALTHCARE AND REHAB,LLC
Skilled Nursing Facility
300 W LOWELL AVE
PONTIAC, IL 61764
Livingston County (815) 842-1181
ASTA THERAPY SERVICES LLC
Rehabilitation Practitioner
300 W LOWELL AVE
PONTIAC, IL 61764
Livingston County (815) 842-1181
LINDSEY TRAINOR
Occupational Therapist
300 W LOWELL AVE
PONTIAC, IL 61764
Livingston County (815) 842-1181
ACCOLADE HEALTHCARE OF PONTIAC LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
300 W LOWELL AVE
PONTIAC, IL 61764
Livingston County (815) 842-1181

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 Accolade Healthcare Of Pontiac LLC's NPI number?

The NPI number for Accolade Healthcare Of Pontiac LLC is 1073035085. It was assigned to this organization in the NPPES registry on July 11, 2017.

Where is Accolade Healthcare Of Pontiac LLC located?

Accolade Healthcare Of Pontiac LLC is located at 300 W Lowell Ave, Pontiac, IL 61764. The listed phone number is (815) 842-1181.

What is Accolade Healthcare Of Pontiac LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Accolade Healthcare Of Pontiac LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2086399) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Accolade Healthcare Of Pontiac LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Accolade Healthcare Of Pontiac LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Accolade Healthcare Of Pontiac LLC was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.