1815 Ridge Avenue LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

1815 RIDGE AVENUE LLC

Doing business as

Trulee Evanston

Practice address

1815 Ridge Ave
Evanston, IL 60201-3662

Phone

(847) 960-5555

NPI assigned

Aug 9, 2021

Last updated

Jul 21, 2022By 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

Melissa Anne Cosentino, MSW, CDP

Title

Executive Director

Phone

(847) 960-5555

Specialties & licenses 1

Addresses

Other names 1

• Trulee Evanston Doing business as

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073288494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013662",
            "telephone_number": "847-960-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1815 RIDGE AVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "COSENTINO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-960-5555",
        "authorized_official_credential": "MSW, CDP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trulee Evanston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Evanston, IL
• Providers in Evanston, 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 Jul 21, 2022; 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.