Evenglow Lodge
NPI 1558314302 · Skilled Nursing Facility · Pontiac, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evenglow Lodge is a Skilled Nursing Facility organization in Pontiac, IL (NPI 1558314302).
Provider details
- NPI number
- 1558314302
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Hovren, President Ceo(815) 844-6131
- License
- 0008425 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2008-04-17
Frequently asked questions
- What is Evenglow Lodge's NPI number?
- Evenglow Lodge's National Provider Identifier (NPI) is 1558314302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evenglow Lodge?
- Evenglow Lodge is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Evenglow Lodge located?
- Evenglow Lodge's practice location on file with NPPES is 215 E Washington St, Pontiac, IL 61764-2011.
- What is Evenglow Lodge's phone number?
- The practice phone number listed in the NPPES registry for Evenglow Lodge is (815) 844-6131.
- Does Evenglow Lodge accept Medicare?
- Evenglow Lodge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evenglow Lodge?
- The authorized official listed on Evenglow Lodge's NPPES record is Mark Hovren, President Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evenglow Lodge's NPI active?
- Yes — Evenglow Lodge's NPI (1558314302) is active in the NPPES registry as of the last update on 2008-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.