Dsi Ottawa Operator LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

364251705002 Issued in IL

Legal business name

DSI OTTAWA OPERATOR LLC

Doing business as

Heritage Woods of Ottawa

Practice address

801 E Etna Rd
Ottawa, IL 61350-9106

Phone

(815) 431-1400

Fax

(815) 431-9147

NPI assigned

Feb 4, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peggy Morgan

Title

Administrator

Phone

(815) 431-1400

Specialties & licenses 1

Addresses

Other names 1

• Heritage Woods of Ottawa Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1053599803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E ETNA RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509106",
            "telephone_number": "815-431-1400",
            "fax_number": "815-431-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E ETNA RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509106",
            "telephone_number": "815-431-1400",
            "fax_number": "815-431-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSI OTTAWA OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-431-1400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "364251705002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Woods of Ottawa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorna Ko Doria, M.D.
• Ami M Dose, APRN, FNP
• Liam Patrick Dougherty, PT, DPT
• Dr Nicholas M Tabor III DPM
• Dr. Hill Chiropractic Clinic, S.C.
• Brandi Duffy, IBCLC RN
• Adriana P Dumitrescu, MD
• Emma Kathryn Eisert, CF-SLP
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• Assisted Living Facility in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.