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OAKLEY COURTS ASSISTED LIVING COMMUNITY NPI 1447865118


NPI Information

NPI: 1447865118
Provider Name: OAKLEY COURTS ASSISTED LIVING COMMUNITY
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 14D2203766

Address:
3117 W KUNKLE BLVD
FREEPORT, IL
ZIP 61032
Phone: (815) 233-5129
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OAKLEY COURTS ASSISTED LIVING COMMUNITY is an assisted living facility in Freeport, 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. OAKLEY COURTS ASSISTED LIVING COMMUNITY NPI is 1447865118. The provider is registered as an organization entity type.

The provider's business location address is:

3117 W KUNKLE BLVD
FREEPORT, IL
ZIP 61032-943
Phone: (815) 233-5129
Fax: (815) 233-0835

The provider's authorized official is Joseph C Tutera .
The authorized official title is Operator and has the following contact phone number (816) 444-0900.

The CLIA number assigned to this NPI record is 14D2203766 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2020 and was last updated on 9/10/2020.


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 FacilityYes

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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