Monroe County
NPI 1164424487ActiveOrganization· Skilled Nursing Facility· Waterloo, IL
Skilled Nursing Facility in Waterloo, Illinois, registered in NPPES in June 2005. The authorized official on file is Kim Lee Keckritz, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1164424487 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2005 |
| Last updated in NPPES | Jun 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (IL) |
|---|
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