Accolade Healthcare of Paxton Senior Living LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ACCOLADE HEALTHCARE OF PAXTON SENIOR LIVING LLC

Practice address

450 E Fulton St
Paxton, IL 60957-1716

Phone

(217) 379-2116

Fax

(217) 379-3000

NPI assigned

Oct 24, 2017

Last updated

Mar 28, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Moshe Freedman

Title

Manager

Phone

(973) 557-3337

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053823591. Details of each certification follow.

• CCN 145449 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145449

Legal name

ACCOLADE HEALTHCARE OF PAXTON SENIOR LIVING LLC

Doing business as

ACCOLADE PAXTON SENIOR LIVING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1982

Last certification

Feb 6, 2025

Beds

75

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Accolade Healthcare LLC

Most recent change of ownership

Nov 1, 2017

Organization structure

LLCProprietary

Enrollment address

450 E Fulton St
Paxton, IL 60957-1716

Nursing home name

ACCOLADE PAXTON SENIOR LIVING

Affiliated entity

ACCOLADE HEALTHCARE

Listed as

Accolade Paxton Senior LivingCCN 145449 · All quality measures

Overall star rating

4 of 5

Health inspections

5 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 1, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7566.3 residents per day on average

Chain

Accolade Healthcare6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Accolade Healthcare of Paxton Senior Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Accolade Healthcare of Paxton Senior Living LLC

  • Oxygen Equipment & Supplies (DME)
  • Paxton, IL
  • NPI 1881315729
  NPD tax ID

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Darrin Ray, MD

  • Family Medicine Physician
  • Gibson City, IL
  • NPI 1679785778

  Nursing home

  Care Compare affiliation
• Donald Pearson Reese, M.D.

  • Family Medicine Physician
  • Paxton, IL
  • NPI 1053632406

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1053823591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E FULTON ST",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "609571716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E FULTON ST",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "609571716",
            "telephone_number": "217-379-2116",
            "fax_number": "217-379-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOLADE HEALTHCARE OF PAXTON SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-557-3337"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Malacad Abantao Jr.
• Accolade Healthcare of Paxton LLC
• Accolade Healthcare of Paxton Senior Living LLC
• Accolade Healthcare of the Heartland LLC
• Accolade Healthcare of the Heartland LLC
• Grace King Anderlik, OTR/L
• Annazette Sale Animas

• Skilled Nursing Facility in Paxton, IL
• Providers in Paxton, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.