ALDEN OF WATERFORD, L.L.C. (NPI# 1104477736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104477736 |
| Entity Type | Organization |
| Organization Name | ALDEN OF WATERFORD, L.L.C. |
| Practice Address |
2021 Randi Dr Aurora IL 60504-4758 |
| Mailing Address |
4200 W Peterson Ave Chicago IL 60646-6074 |
| Practice Telephone | 6308517266 |
| Mailing Telephone | 7737246373 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | JOHN AVELINO (ACCOUNTS RECEIVABLE MANAGER) |
| Authorized Official Telephone | 7737246376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760470553 | Alden of Waterford, L.L.C. | Skilled Nursing Facility | 2021 Randi Dr, Aurora, IL 60504-4758 | 2005-10-06 |
| 1730544438 | Alden of Waterford, L.L.C. | Durable Medical Equipment & Medical Supplies | 2021 Randi Dr, Aurora, IL 60504-4758 | 2015-12-22 |
| Street Address |
2021 RANDI DR |
| City | AURORA |
| State | IL |
| Zip Code | 60504-4758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760470553 | Alden of Waterford, L.L.C. | Skilled Nursing Facility | 2021 Randi Dr, Aurora, IL 60504-4758 | 2005-10-06 |
| 1710512041 | Hamza Ezzenje | Occupational Therapy Assistant | 2021 Randi Dr, Aurora, IL 60504-4758 | 2020-03-06 |
| 1942769278 | Leoncio King Menguito Geronimo | Occupational Therapist | 2021 Randi Dr, Aurora, IL 60504-4758 | 2019-03-16 |
| 1730544438 | Alden of Waterford, L.L.C. | Durable Medical Equipment & Medical Supplies | 2021 Randi Dr, Aurora, IL 60504-4758 | 2015-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306400502 | Shalom Cares Wellness Center, LLC | Clinic/Center | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871030130 | Safer Foundation | Clinic/Center | 3210 W Arthington St, Chicago, IL 60624-4121 | 2017-01-25 |
| 1447438635 | Empathy Rehab LLC | Clinic/Center | 2353 Hassell Rd, Hoffman Estates, IL 60169-2170 | 2008-02-10 |
| 1669695227 | Center for Rehabilitation Technology Inc | Clinic/Center | 64 S Prairie St, 218 Weinberg Arcade, Galesburg, IL 61401-4642 | 2007-04-11 |
| 1891812327 | Comgraph Inc. | Clinic/Center | 252 Main Street, Park Forest, IL 60466 | 2007-03-22 |
| 1194898114 | Vital Rehabilitation & Physical Therapy Inc | Clinic/Center | 11600 S Kedzie, Merrionette Park, IL 60803 | 2006-11-16 |
| 1265521959 | Milestone Rehabilitation | Clinic/Center | 474 Parkwood Circle, South Elgin, IL 60177 | 2006-10-12 |
| 1487747556 | Innovative Outpatient Medical Systems | Clinic/Center | 18425 West Creek Drive, Suite G, Tinley Park, IL 60477-6767 | 2006-10-02 |
| 1053824896 | Safer Foundation | Clinic/Center | 2839 W Fillmore St, Chicago, IL 60612-4051 | 2017-11-15 |
| 1942750930 | Joyner Therapy Services | Clinic/Center | 2907 Williamson County Pkwy, Marion, IL 62959-5256 | 2016-10-13 |
| 1447615513 | Ctf Illinois | Clinic/Center | 19015 S Jodi Rd, Mokena, IL 60448-8514 | 2015-12-16 |
| Find all providers with the same taxonomy | ||||
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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.