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ALDEN OF WATERFORD L.L.C. NPI 1104477736


NPI Information

NPI: 1104477736
Provider Name: ALDEN OF WATERFORD, L.L.C.
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

CLIA Number: 14D0999873

Address:
2021 RANDI DR
AURORA, IL
ZIP 60504
Phone: (630) 851-7266
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ALDEN OF WATERFORD, L.L.C. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Aurora, IL. ALDEN OF WATERFORD, L.L.C. NPI is 1104477736. The provider is registered as an organization entity type.

The provider's business location address is:

2021 RANDI DR
AURORA, IL
ZIP 60504-758
Phone: (630) 851-7266

The provider's authorized official is John Avelino .
The authorized official title is Accounts Receivable Manager and has the following contact phone number (773) 724-6376.

The CLIA number assigned to this NPI record is 14D0999873 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2019 and was last updated on 9/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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