EMERALD ESTADES
NPI 1548433154
Intermediate Care Facility, Intellectual Disabilities in Canton, IL

Q: What is Patterson House, Inc.'s NPI number?

The NPI number for Patterson House, Inc. is 1548433154. It was assigned to this organization in the NPPES registry on April 4, 2008. The provider is doing business as Emerald Estades.

Q: What is Patterson House, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since April 04, 2008CLIA 14D1062956 · Waiver

1577 E MYRTLE ST, CANTON, IL 61520(309) 647-6604(309) 647-0440 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Emerald Estades NPPES

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

EMERALD ESTADES (NPI 1548433154) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Canton, Illinois and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through January 1, 2027 and lists Marcia Rose, Rsd, as its authorized official.

NPPES Registry Identity

NPI1548433154

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NamePATTERSON HOUSE, INC.

Location Address1577 E MYRTLE STCanton, IL 61520-1520

Mailing AddressPo Box 25527Decatur, IL 62525-5527 · (217) 422-6510 · Fax (217) 422-6819

Phone(309) 647-6604

Fax(309) 647-0440

Organization SubpartNo

Authorized OfficialMarcia RoseRsd · (309) 647-6604

Enumeration DateApril 4, 2008

Last NPPES UpdateJune 24, 2008

✔ NPI 1548433154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in IL · 0039354

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License 0039354 (IL)

1577 E MYRTLE ST, Canton, IL 61520

Open in Google Maps ↗

Other Names 1

Doing Business AsEmerald Estades

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 14D1062956

Emerald Estates · Canton, IL

Active · expires Jan 1, 2027

CLIA Number14D1062956

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateJanuary 2, 2025

Certificate Expiration DateJanuary 1, 2027

Laboratory DirectorNicki Palmer

Laboratory Phone(309) 647-6604

Laboratory LocationEmerald Estates1577 E Myrtle, Canton, IL 61520

CLIA data matches this NPI record on: Address 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 Patterson House, Inc.'s NPI number?

The NPI number for Patterson House, Inc. is 1548433154. It was assigned to this organization in the NPPES registry on April 4, 2008. The provider is doing business as Emerald Estades.

Where is Patterson House, Inc. located?

Patterson House, Inc. is located at 1577 E Myrtle St, Canton, IL 61520. The listed phone number is (309) 647-6604.

What is Patterson House, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Patterson House, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1062956) is associated with this NPI, valid through January 1, 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 Patterson House, Inc. was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.