DSI OTTAWA OPERATOR LLC NPI 1053599803

NPI Information

  • NPI: 1053599803
  • Provider Name: DSI OTTAWA OPERATOR LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: HERITAGE WOODS OF OTTAWA
  • CLIA Number: 14D2196444
  • Address: 801 E ETNA RD
    OTTAWA, IL
    ZIP 61350
  • Phone: (815) 431-1400

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NPI Details

DSI OTTAWA OPERATOR LLC is an assisted living facility in Ottawa, 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. DSI OTTAWA OPERATOR LLC NPI is 1053599803. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Woods Of Ottawa.

The provider's business location address is:

801 E ETNA RD
OTTAWA, IL
ZIP 61350-106
Phone: (815) 431-1400
Fax: (815) 431-9147

The provider's authorized official is Peggy Morgan .
The authorized official title is Administrator and has the following contact phone number (815) 431-1400.

The CLIA number assigned to this NPI record is 14D2196444 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 4/15/2008.

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 Facility364251705002ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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