Organization Active NPI

Accolade Healthcare of Danville LLC

  • Skilled Nursing Facility
  • Danville, IL
National Provider Identifier
1669083655
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 DanvilleCCN 145243 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 15, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10895.2 residents per day on average
Chain
Accolade Healthcare6 facilities in the chain
Penalties (3 years)
3Fines totaling $67,825

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Accolade Healthcare of Danville2 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.

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.

NameRoleSinceShare
Moshe Freedman Individual 5% Or Greater Direct Ownership Interest Nov 1, 2020 98%
Corporate OfficerManager (Highest Ranking Officia Nov 1, 2020
W-2 Managing EmployeeFacility Administrator Nov 1, 2020
Tiom Danville Property LLC Organization, Evanston, IL LLC, For-profit 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

Sources for this page

Verify at the official NPI Registry.