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Contact Information

ACCOLADE HEALTHCARE OF PONTIAC LLC
300 W LOWELL AVE
PONTIAC, IL61764-2614
 Phone: 815-842-1181
 Fax: 815-842-3406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for ACCOLADE HEALTHCARE OF PONTIAC LLC

NPI Number 1073035085
LBN Legal business name ACCOLADE HEALTHCARE OF PONTIAC LLC
Authorized official MOSHE FREEDMAN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2017
Last updated 03/28/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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