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AVONLEA COTTAGE OF QUAD CITIES 2 LLC. NPI 1306005863


NPI Information

NPI: 1306005863
Provider Name: AVONLEA COTTAGE OF QUAD CITIES 2, LLC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 14D2235464

Address:
2025 1ST ST E
MILAN, IL
ZIP 61264
Phone: (309) 756-2257
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AVONLEA COTTAGE OF QUAD CITIES 2, LLC. is an assisted living facility in Milan, IL. The provider is 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. AVONLEA COTTAGE OF QUAD CITIES 2, LLC. NPI is 1306005863. The provider is registered as an organization entity type.

The provider's business location address is:

2025 1ST ST E
MILAN, IL
ZIP 61264-402
Phone: (309) 756-2257
Fax: (309) 756-2258

The provider's authorized official is Paul Thoma .
The authorized official title is Member and has the following contact phone number (913) 492-7800.

The CLIA number assigned to this NPI record is 14D2235464 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 1/29/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility5100133ILLINOISNo
2310400000XAssisted Living Facility5100141ILLINOISYes

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: 5/5/2024

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