Active NPI
Accolade Healthcare of Danville LLC
- Skilled Nursing Facility
- Danville, IL
National Provider Identifier
1669083655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ACCOLADE HEALTHCARE OF DANVILLE LLC
- Practice address
- 801 N Logan Ave
Danville, IL 61832-3715 - Phone
- (217) 448-3106
- NPI assigned
- Aug 12, 2020
- Last updated
- Mar 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moshe Freedman
- Title
- Manager
- Phone
- (217) 443-3106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
801 N Logan Ave
Danville, IL 61832-3715
Mailing address
9433 Olive Blvd # 100
Saint Louis, MO 63132-3132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201104000381 | IL | Part A Provider - Skilled Nursing Facility | 0547670416 | Practice locations: Danville, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669083655. Details of each certification follow.
Skilled nursing facility certification: CCN 145243
- Legal name
- ACCOLADE HEALTHCARE OF DANVILLE LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 15, 1972
- Last certification
- May 20, 2025
- Beds
- 108
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Enrollment address
- 801 N Logan Ave
Danville, IL 61832-3715 - Nursing home name
- ACCOLADE HEALTHCARE DANVILLE
- Affiliated entity
- ACCOLADE HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Accolade Healthcare Danville
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 15, 1972
- Medicare certification status
- Active
- Certified beds
- 108
- Chain
- Accolade Healthcare
- Penalties (3 years)
- 3
National Provider Directory
National Provider Directory- Tax ID family
- Accolade Healthcare of Danville
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Danville, IL
- NPI 1891416731
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Moshe Freedman | 5% Or Greater Direct Ownership Interest | Nov 1, 2020 | 98% |
| Corporate Officer | Nov 1, 2020 | ||
| W-2 Managing Employee | Nov 1, 2020 | ||
| Tiom Danville Property LLC | 5% Or Greater Security Interest | Nov 1, 2020 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1669083655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9433 OLIVE BLVD # 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631323132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N LOGAN AVE",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618323715",
"telephone_number": "217-448-3106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCOLADE HEALTHCARE OF DANVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-12",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A",
"authorized_official_last_name": "FREEDMAN",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "217-443-3106"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
- Abada Health Source LLC (Medplus Pharmacy)
- Jacqueline Marie Abbott, BS
- Rayne Abernathy
- Tuyet Nguyen Abraham, MD, MSC
- Accelerated Rehabiliation Centers LTD (Athletico Physical Therapy)
- Accolade Healthcare of Danville LLC
- Chelsie Sue Acord, FNP
- Zainab Lawan Adam-Anderson
- Aei Hearing Inc.
- Affirmative Care Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.