Active NPI
Independent Order of Odd Fellows
Doing business as Odd Fellow Rebekah Home
- Skilled Nursing Facility
- Mattoon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0010223
- Legal business name
- INDEPENDENT ORDER OF ODD FELLOWS
- Doing business as
- Odd Fellow Rebekah Home
- Practice address
- 201 Lafayette Ave E
Mattoon, IL 61938-4641 - Phone
- (217) 235-5449
- Fax
- (217) 235-0611
- NPI assigned
- Nov 1, 2005
- Last updated
- Nov 14, 2024
- 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
- Mr. Daniel L Curry
- Title
- Ex. VP & Cfo
- Phone
- (309) 823-7164
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0010223 | IL | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0010223 | IL |
Addresses
Primary practice location
201 Lafayette Ave E
Mattoon, IL 61938-4641
Mailing address
201 Lafayette Ave E
Mattoon, IL 61938-4641
Phone (217) 235-5449
Other names 1
- Odd Fellow Rebekah Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190530002911 | IL | Part A Provider - Skilled Nursing Facility | 1951634252 | Practice locations: Mattoon, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1700877545. Details of each certification follow.
Skilled nursing facility certification: CCN 145772
- Legal name
- INDEPENDENT ORDER OF ODD FELLOWS
- Doing business as
- ODD FELLOW-REBEKAH HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 16, 1993
- Last certification
- Oct 8, 2024
- Beds
- 162
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 201 Lafayette Ave E
Mattoon, IL 61938-4641 - Nursing home name
- ODD FELLOW-REBEKAH HOME
- Affiliated entity
- HERITAGE OPERATIONS GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Odd Fellow-Rebekah Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 16, 1993
- Medicare certification status
- Active
- Certified beds
- 162
- Chain
- Heritage Operations Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 5
National Provider Directory
National Provider Directory- Tax ID family
- Independent Order of Odd Fellows
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Odd Fellow Rebekah Home
- Oxygen Equipment & Supplies (DME)
- Mattoon, IL
- NPI 1063756799
Locations
201 Lafayette Ave E
Mattoon, IL 61938
Phone (217) 235-5449
Ownership & related parties
All disclosed owners & managing parties 14
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 |
|---|---|---|---|
| Donna Grable | Corporate Director | Jan 1, 2017 | |
| Karla Lounsbury | Corporate Director | Jul 1, 2023 | |
| Nannette Johnson | Corporate Director | Nov 1, 2023 | |
| Kent Staley | Corporate Director | Mar 1, 2019 | |
| Heritage Operations Group, LLC | General Partnership Interest | Oct 20, 2017 | |
| Operational/Managerial Control | Oct 20, 2017 | 100% | |
| Adp of the SNF | Feb 17, 2025 | ||
| Lucas L Catt | Corporate Director | Jul 1, 2017 | |
| Operational/Managerial Control | Jul 1, 2017 | ||
| Adp of the SNF | Feb 26, 2025 | ||
| Gregory Worrell | Corporate Director | Nov 1, 2023 | |
| Linda Jones | Corporate Director | Oct 31, 2017 | 10% |
| Charles Campbell | Corporate Director | Oct 1, 2022 | |
| Richard Jones | Corporate Director | Oct 20, 2017 | 10% |
| David William Standerfer | Corporate Director | Sep 22, 2011 | |
| Operational/Managerial Control | Sep 22, 2011 | ||
| Adp of the SNF | Feb 26, 2025 | ||
| Benjamin a Hart | Operational/Managerial Control | Jan 5, 2014 | 20% |
| Daniel Curry | Corporate Officer | Apr 4, 2022 | |
| Steven Hart | Corporate Officer | Jul 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Mattoon, IL
- NPI 1912174970
Adp of the SNF, Corporate Director, Operational/Managerial Control
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Country Health Care & Rehab
- Skilled Nursing Facility
- Gifford, IL
- NPI 1225029879
Heritage Operations Group, LLC
-
dba The H & J Vonderlieth LVG CTR
- Skilled Nursing Facility
- Mount Pulaski, IL
- NPI 1376538157
Heritage Operations Group, LLC
-
dba Heritage Health
- Skilled Nursing Facility
- Hoopeston, IL
- NPI 1881636603
Heritage Operations Group, LLC
-
dba Mason City Area Nursing Home
- Skilled Nursing Facility
- Mason City, IL
- NPI 1487645024
Heritage Operations Group, LLC
-
dba Regency Care
- Skilled Nursing Facility
- Springfield, IL
- NPI 1053557009
Heritage Operations Group, LLC
-
- Skilled Nursing Facility
- Lincoln, IL
- NPI 1346231198
Heritage Operations Group, LLC
-
dba Sunny Acres Nursing Home
- Skilled Nursing Facility
- Petersburg, IL
- NPI 1497856785
Heritage Operations Group, LLC
-
dba Villa Health Care East
- Skilled Nursing Facility
- Sherman, IL
- NPI 1417957309
Heritage Operations Group, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1130803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1700877545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LAFAYETTE AVE E",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384641",
"telephone_number": "217-235-5449",
"fax_number": "217-235-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LAFAYETTE AVE E",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384641",
"telephone_number": "217-235-5449",
"fax_number": "217-235-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT ORDER OF ODD FELLOWS",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-01",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "CURRY",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EX. VP & CFO",
"authorized_official_telephone_number": "309-823-7164",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0010223",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "IL",
"license": "0010223",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Odd Fellow Rebekah Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mattoon, IL
- Donald Hutton II, RPH.
- Pamela Kay Hutton
- HW Holdings (All About Eyes)
- Illinois Express Vision Center-Mattoon Inc. (Illinois Express Eyecare)
- Independent Order of Odd Fellows (Odd Fellow Rebekah Home)
- Roza Ioffe, M.D.
- Randy R Isaacs, MD
- Shemariah Laish Israel, MD
- Breanna J Jackson, WHNP
- Cheyenne Jackson, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.