MAYWOOD SLF I LP NPI 1770210825

NPI Information

  • NPI: 1770210825
  • Provider Name: MAYWOOD SLF I LP
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 14D2265022
  • Address: 316 RANDOLPH ST
    MAYWOOD, IL
    ZIP 60153
  • Phone: (708) 316-8081

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NPI Details

MAYWOOD SLF I LP is an assisted living facility in Maywood, 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. MAYWOOD SLF I LP NPI is 1770210825. The provider is registered as an organization entity type.

The provider's business location address is:

316 RANDOLPH ST
MAYWOOD, IL
ZIP 60153-207
Phone: (708) 316-8081

The provider's authorized official is Aron Weisner .
The authorized official title is Owner/operator and has the following contact phone number (410) 209-7635.

The CLIA number assigned to this NPI record is 14D2265022 - other - supportive living with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2022 and was last updated on 1/13/2023.

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: 11/21/2025

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