ACCOLADE HEALTHCARE OF PONTIAC LLC
NPI 1699496539
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Pontiac, IL


Overall Rating: 2 out of 5 stars

NPI Status: Active since September 08, 2022

Contact Information

300 W LOWELL AVE
PONTIAC, IL
ZIP 61764
Phone: (815) 842-1181

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Oxygen Equipment & Supplies
  • CLIA Number: 14D2086399
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 06-22-2027

About ACCOLADE HEALTHCARE OF PONTIAC LLC

This page provides the complete NPI Profile along with additional information for Accolade Healthcare Of Pontiac Llc, a provider established in Pontiac, Illinois operating as a Durable Medical Equipment & Medical Supplies, focusing in oxygen equipment & supplies . The healthcare provider is registered in the NPI registry with number 1699496539 assigned on September 2022. The practitioner's primary taxonomy code is 332BX2000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Moshe Freedman (Manager)

NPI
1699496539
Provider Name
ACCOLADE HEALTHCARE OF PONTIAC LLC
Entity Type
Organization
Location Address
300 W LOWELL AVE PONTIAC, IL 61764
Location Phone
(815) 842-1181
Mailing Address
300 W LOWELL AVE PONTIAC, IL 61764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2022
Last Update Date
09-08-2022
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According to the Nursing Home Compare program data, Accolade Healthcare Of Pontiac Llc has a below average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 2 out of 5 stars provide a snapshot of this nursing home quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies

Taxonomy Code
332BX2000X
Type
Suppliers

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOSHE FREEDMAN

Authorized Official Title
MANAGER
Authorized Official Phone
(973) 557-3339

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 2 out of 5 stars - Below Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 4 out of 5 stars - Above Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 5 out of 5 stars - Much Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 3 out of 5 stars - Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 1 out of 5 stars - Much Below Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours2.04 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.52 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover88.9%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Administrator Turnover1
Number of administrators who left the nursing home within a given year.
Ownership TypeFor profit - Corporation
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds97 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day76 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents1 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints5 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections4 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties2 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines2 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$19500.00
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2086399
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
June 23, 2025
Certificate Expiration Date
June 22, 2027
Laboratory Director
JAMIE L. PATTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Accolade Healthcare Of Pontiac Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699496539, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 4 → 8 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 8 + 9 + 1 + 2 + 5 + 6 + 24 = 81

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 81 is 90. The difference is the calculated check digit.

90 - 81 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1699496539.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Occupational Therapist
300 W LOWELL AVE
PONTIAC, IL 61764
Skilled Nursing Facility
300 W LOWELL AVE
PONTIAC, IL 61764
Rehabilitation Practitioner
300 W LOWELL AVE
PONTIAC, IL 61764
Skilled Nursing Facility
300 W LOWELL AVE
PONTIAC, IL 61764

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699496539, enumerated as an "organization" on September 08, 2022.

The provider is located at 300 W LOWELL AVE PONTIAC, IL 61764 and the phone number is (815) 842-1181.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BX2000X and a focus in Oxygen Equipment & Supplies.