MONROE COUNTY (NPI# 1457500621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457500621 |
| Entity Type | Organization |
| Organization Name | MONROE COUNTY |
| Other Organization Name | MAGNOLIA TERRACE |
| Practice Address |
623 Hamacher Street Waterloo IL 62298-1598 |
| Practice Telephone | 6189390500 |
| Practice Fax Number | 6189394906 |
| Mailing Telephone | 6189390500 |
| Mailing Fax Number | 6189394906 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2015-06-25 |
| Authorized Official Name | MRS. KIM LEE KECKRITZ (ADMINISTRATOR) |
| Authorized Official Telephone | 6189393488 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONROE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Magnolia Terrace | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548780828 | Monroe County | Skilled Nursing Facility | 623 Hamacher St, Waterloo, IL 62298-1786 | 2017-06-27 |
| 1861699985 | Monroe County | Local Education Agency (LEA) | #65 Al Ave Monroe Co Courthouse, Rm 127, Monroeville, AL 36461 | 2007-07-02 |
| 1164424487 | Monroe County | Skilled Nursing Facility | 623 Hamacher Street, Waterloo, IL 62298-1598 | 2005-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MONROE COUNTY 4-H AND YOUTH FOUNDATION | 219 B Ave West, Albia, IA 52531 |
| Indiana Business Entities | MONROE COUNTY 4-H CLUB ASSOCIATION INC | R #1, Solsberry, IN 47459 |
| Indiana Business Entities | MONROE COUNTY 4X4 CLUB INC. | 8712 N Mt Pleasant Rd, Gosport, IN 47433 |
| Iowa Business Entities | MONROE COUNTY ACTIVITY CENTER OF ALBIA, IOWA | 116 North 2nd Street, Albia, IA 52531 |
| System for Award Management (SAM) Entities | MONROE COUNTY AIRPORT | 972 South Kirby Rd, Bloomington, IN 47403-9392 |
| New York State Corporations | MONROE COUNTY AIRPORT TAXI SERVICE LLC | 208 Taft Ave, Rochester, Ny 14609 |
| System for Award Management (SAM) Entities | MONROE COUNTY AMBULANCE SERVICE | 901 Illinois Ave Ste C, Waterloo, IL 62298-1142 |
| System for Award Management (SAM) Entities | MONROE COUNTY AMERICAN LEGION HONOR GUARD | 60 Forest Meadow Trl, Rochester, NY 14624-1154 |
| New York State Corporations | MONROE COUNTY AMERICAN LEGION HONOR GUARD, INC. | P.o. Box 15493, Rochester, Ny 14615 |
| New York State Corporations | MONROE COUNTY AUTOMOTIVE SERVICES, INC. | 1057 East Henrietta Road, Suite 100, Rochester, Ny 14623 |
| Street Address |
623 HAMACHER STREET |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-1598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424487 | Monroe County | Skilled Nursing Facility | 623 Hamacher Street, Waterloo, IL 62298-1598 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164089157 | Friendship Village Inc. | Assisted Living Facility | 312 Southbrooke Dr, Waterloo, IA 50702-5804 | 2019-05-24 |
| 1649614355 | The Rose of Waterloo, L.p. | Assisted Living Facility | 421 Oak Ave, Waterloo, IA 50703-3401 | 2013-04-24 |
| 1982696126 | Abcm Corporation | Assisted Living Facility | 121 Danberry Cir, Waterloo, IA 50701-9389 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190504 | The Manor At Jerseyville Glen, Lp | Assisted Living Facility | 904b Estates Dr, Jerseyville, IL 62052-2377 | 2020-10-06 |
| 1861008872 | Franciscan Communities, Inc. | Assisted Living Facility | 15624 Marian Dr, Homer Glen, IL 60491-6271 | 2020-09-16 |
| 1447865118 | Oakley Courts Assisted Living Community | Assisted Living Facility | 3117 W Kunkle Blvd, Freeport, IL 61032-6943 | 2020-09-10 |
| 1083233076 | Marley Oaks Assisted Living Residence | Assisted Living Facility | 12631 187th St, Mokena, IL 60448-8731 | 2020-04-10 |
| 1447884630 | Cedarhurst of Quincy Operator, LLC | Assisted Living Facility | 319 S 48th St, Quincy, IL 62305-0593 | 2020-02-26 |
| 1164055323 | Cye Sullivan Hco, LLC | Assisted Living Facility | 20 Courtyard Blvd, Sullivan, IL 61951-7001 | 2020-02-17 |
| 1255964573 | Cottages At Salem, Inc. | Assisted Living Facility | 339 S Hotze Rd, Salem, IL 62881-6858 | 2020-02-14 |
| 1841821014 | Generations At Oakton Arms, LLC | Assisted Living Facility | 1665 Oakton Pl, Des Plaines, IL 60018-6301 | 2020-01-28 |
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.