OrganizationActive
Monroe County
NPI 1457500621 · Assisted Living Facility · Waterloo, IL
Provider details
- NPI number
- 1457500621
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Monroe County
- Organization subpart
- Yes
- Authorized official
- Kim Keckritz, Administrator(618) 939-3488
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
623 Hamacher Street
Waterloo, IL 62298-1598
Phone: (618) 939-0500
Fax: (618) 939-4906
Street-level locationGet directions
Mailing address
623 Hamacher Street
Waterloo, IL 62298-1598
Other names (DBA / former)
- Doing business as
- Magnolia Terrace
Registry dates
- Enumerated
- 2008-09-12
- Last updated
- 2015-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.