ACCOLADE HEALTHCARE OF WATERLOO LLC
NPI 1821967217
Skilled Nursing Facility in Waterloo, IL

Active since November 03, 2025CLIA 26D0699632 · Waiver
623 HAMACHER ST, WATERLOO, IL 62298(618) 939-3488 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Accolade Healthcare Of Waterloo Llc NPPES

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

ACCOLADE HEALTHCARE OF WATERLOO LLC (NPI 1821967217) is a healthcare organization registered as a skilled nursing facility in Waterloo, Illinois and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Moshe Freedman, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1821967217
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameACCOLADE HEALTHCARE OF WATERLOO LLC
Location Address623 HAMACHER STWaterloo, IL 62298-1786
Mailing Address9433 Olive Blvd Ste 100Saint Louis, MO 63132-3132
Organization SubpartNo
Authorized OfficialMoshe FreedmanAuthorized Official · (309) 885-0005
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
NPI 1821967217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
623 HAMACHER ST, Waterloo, IL 62298

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 26D0699632

Accolade Healthcare Of Waterloo · Waterloo, IL
Active · expires Aug 31, 2026
CLIA Number26D0699632
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKim Keckritz
Laboratory Phone(618) 939-3488
Laboratory LocationAccolade Healthcare Of Waterloo623 Hamacher Street, Waterloo, IL 62298
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 12

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

Internal Medicine
623 HAMACHER ST
WATERLOO, IL 62298
Occupational Therapist
623 HAMACHER ST
WATERLOO, IL 62298
Occupational Therapy Assistant
623 HAMACHER ST
WATERLOO, IL 62298
Physical Therapy Assistant
623 HAMACHER ST
WATERLOO, IL 62298
Assisted Living Facility
623 HAMACHER ST
WATERLOO, IL 62298
Internal Medicine
623 HAMACHER ST
WATERLOO, IL 62298
Skilled Nursing Facility
623 HAMACHER ST
WATERLOO, IL 62298
Occupational Therapy Assistant
623 HAMACHER ST
WATERLOO, IL 62298

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 Waterloo LLC's NPI number?

The NPI number for Accolade Healthcare Of Waterloo LLC is 1821967217. It was assigned to this organization in the NPPES registry on November 3, 2025.

Where is Accolade Healthcare Of Waterloo LLC located?

Accolade Healthcare Of Waterloo LLC is located at 623 Hamacher St, Waterloo, IL 62298. The listed phone number is (618) 939-3488.

What is Accolade Healthcare Of Waterloo LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 26D0699632) 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 Accolade Healthcare Of Waterloo LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.