Evenglow Lodge
NPI 1558314302ActiveOrganization· Skilled Nursing Facility· Pontiac, IL
Skilled Nursing Facility in Pontiac, Illinois, registered in NPPES in May 2006. The authorized official on file is Mark Hovren, President Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1558314302 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Apr 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 0008425 | 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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