Accolade Healthcare of Pontiac LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ACCOLADE HEALTHCARE OF PONTIAC LLC

Practice address

300 W Lowell Ave
Pontiac, IL 61764-2614

Phone

(815) 842-1181

Fax

(815) 842-3406

NPI assigned

Jul 11, 2017

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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Skilled nursing facility certification: CCN 146010

Legal name

ACCOLADE HEALTHCARE OF PONTIAC LLC

Doing business as

ACCOLADE HEALTHCARE OF PONTIAC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Nov 15, 2001

Last certification

Aug 23, 2024

Beds

97

Ownership / control type

Corporation

Multi-facility organization

Accolade Healthcare

Most recent change of ownership

Aug 2, 2017

Organization structure

LLCProprietary

Enrollment address

300 W Lowell Ave
Pontiac, IL 61764-2614

Nursing home name

ACCOLADE HEALTHCARE OF PONTIAC

Affiliated entity

ACCOLADE HEALTHCARE

Listed as

Accolade Healthcare of PontiacCCN 146010 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 15, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9779.8 residents per day on average

Chain

Accolade Healthcare6 facilities in the chain

Penalties (3 years)

1Fines totaling $19,250

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Accolade Healthcare of Pontiac2 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 Pontiac LLC

  • Oxygen Equipment & Supplies (DME)
  • Pontiac, IL
  • NPI 1699496539
  NPD tax ID

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

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

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1073035085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W LOWELL AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617642614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W LOWELL AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617642614",
            "telephone_number": "815-842-1181",
            "fax_number": "815-842-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOLADE HEALTHCARE OF PONTIAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Abouelkhair
• Accolade Healthcare of Pontiac LLC
• Kenneth Louis Albrecht, RPH
• Megan L Amdor, MHP
• Matthew J Anagnostopulos, RPH
• Kelsey Ann Anello, MS

• Skilled Nursing Facility in Pontiac, IL
• Providers in Pontiac, 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.