Monroe County

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MONROE COUNTY

Doing business as

Oak Hill

Practice address

623 Hamacher Street
Waterloo, IL 62298-1598

Phone

(618) 939-3488

Fax

(918) 929-5030

NPI assigned

Jun 1, 2005

Last updated

Jun 24, 2015By 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

Mrs. Kim Lee Keckritz

Title

Administrator

Phone

(618) 939-3488

Specialties & licenses 1

Addresses

Other names 1

• Oak Hill Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164424487. Details of each certification follow.

• CCN 145445 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145445

Legal name

MONROE COUNTY

Doing business as

OAK HILL

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Apr 19, 1982

Last certification

Aug 23, 2024

Beds

144

Ownership / control type

County

Organization structure

GovernmentProprietary

Enrollment address

623 Hamacher St
Waterloo, IL 62298-1786

Listed as

Accolade Healthcare of WaterlooCCN 145445 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Apr 19, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

144134.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Monroe County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Monroe County

  dba Magnolia Terrace

  • Assisted Living Facility
  • Waterloo, IL
  • NPI 1457500621
  NPD tax ID
• Monroe County

  dba Oak Hill

  • Skilled Nursing Facility
  • Waterloo, IL
  • NPI 1548780828
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Monroe

  dba Monroe County Ambulance Service

  • Ambulance
  • Waterloo, IL
  • NPI 1386634517

  Member Of

  NPD member

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Walter Lin, MD, MBA

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1952481913

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Lin, MD, MBA

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1952481913
  NPD (past)

Affiliated clinicians 2

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

• Emil Fernando, MD

  • Internal Medicine Physician
  • Poplar Bluff, MO
  • NPI 1982968129

  Nursing home

  Care Compare affiliation
• Walter Lin, MD, MBA

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1952481913

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1164424487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 HAMACHER STREET",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981598",
            "telephone_number": "618-939-3488",
            "fax_number": "618-939-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 HAMACHER STREET",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981598",
            "telephone_number": "618-939-3488",
            "fax_number": "918-929-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "KECKRITZ",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-939-3488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Marie Miller, D.C.
• Eric James Milligan
• Bradley W Mitchell, DMD
• Michele D Moldrem, MHNP
• Daniel Moll, RSA
• Monroe County (Magnolia Terrace)
• Monroe County (Oak Hill)
• Monroe County Surgical Center,LLC
• Allyson Mooney, RSA
• Bobbi Moore, MHP

• Skilled Nursing Facility in Waterloo, IL
• Providers in Waterloo, 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 Jun 24, 2015; 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.