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HICKORY ESTATES OF PANA LLC
NPI 1245437797
Assisted Living Facility in Pana, IL

Active since June 28, 2007CLIA 14D2242475 · Waiver
101 N HICKORY ST, PANA, IL 62557(217) 562-2022(217) 562-2027 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Hickory Estates Of Pana Llc NPPES

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

HICKORY ESTATES OF PANA LLC (NPI 1245437797) is a healthcare organization registered as an assisted living facility in Pana, Illinois and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through November 8, 2027 and lists Lisa Schmitz, Manager, as its authorized official.

NPPES Registry Identity

NPI1245437797
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHICKORY ESTATES OF PANA LLC
Location Address101 N HICKORY STPana, IL 62557-1040
Mailing AddressPo Box 86Pana, IL 62557-0086 · (217) 562-2022 · Fax (217) 562-2027
Phone(217) 562-2022
Fax(217) 562-2027
Organization SubpartNo
Authorized OfficialLisa SchmitzManager · (217) 562-2022
Enumeration DateJune 28, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1245437797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IL · 001
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
101 N HICKORY ST, Pana, IL 62557
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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 14D2242475

Hickory Estates Of Pana · Pana, IL
Active · expires Nov 8, 2027
CLIA Number14D2242475
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorMelissa Denton
Laboratory Phone(217) 562-2022
Laboratory LocationHickory Estates Of Pana101 N Hickory, Pana, IL 62557
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hickory Estates Of Pana LLC's NPI number?

The NPI number for Hickory Estates Of Pana LLC is 1245437797. It was assigned to this organization in the NPPES registry on June 28, 2007.

Where is Hickory Estates Of Pana LLC located?

Hickory Estates Of Pana LLC is located at 101 N Hickory St, Pana, IL 62557. The listed phone number is (217) 562-2022.

What is Hickory Estates Of Pana LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Hickory Estates Of Pana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2242475) is associated with this NPI, valid through November 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hickory Estates Of Pana LLC was last updated on July 21, 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.