ADELINE E. PROUTY TRUST (NPI# 1013124593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013124593 |
| Entity Type | Organization |
| Organization Name | ADELINE E. PROUTY TRUST |
| Other Organization Name | GREENFIELD HOME |
| Practice Address |
508 Park Ave E Princeton IL 61356-2538 |
| Practice Telephone | 8158722261 |
| Practice Fax Number | 8158751758 |
| Mailing Telephone | 8158722261 |
| Mailing Fax Number | 8158751758 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PHILLIP KARL KAUFMANN (ADMINISTRATOR) |
| Authorized Official Telephone | 8158722261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 0021956 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Greenfield Home | Doing Business As Name - Organization |
| Street Address |
508 PARK AVE E |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| 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 |
|---|---|---|---|---|
| 1033735121 | Artis Senior Living of Princeton Junction, LLC | Assisted Living Facility | 861 Alexander Rd, Princeton, NJ 08540-6310 | 2020-06-24 |
| 1851647333 | Atrium At Princeton LLC | Assisted Living Facility | 1000 Windrow Dr, Princeton, NJ 08540-5007 | 2012-08-02 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1003130154 | Caley House | Assisted Living Facility | 104 South 8th Avenue, Princeton, MN 55371-1735 | 2010-03-18 |
| 1023285566 | Residential Alternatives of Illinois Inc | Assisted Living Facility | 140 North Sixth Street, Princeton, IL 61356-1878 | 2008-05-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1235345349 | Bristol Care, Inc. | Assisted Living Facility | 200 N Fullerton St, Princeton, MO 64673-1176 | 2007-05-15 |
| 1598887762 | Quality Assisted Living, Inc. | Assisted Living Facility | 775 Mount Lucas Rd, Princeton, NJ 08540-1954 | 2007-04-06 |
| 1669518403 | Villa Asuncion Independent & Assisted Living Center | Assisted Living Facility | 830 E Princeton Dr, Princeton, TX 75407-9015 | 2007-01-29 |
| 1588737555 | Pearls Residential Care LLC | Assisted Living Facility | 308 S Broadway St, Princeton, MO 64673-1111 | 2006-11-16 |
| Find all providers in PRINCETON | ||||
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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.