1815 Ridge Avenue LLC
Organization Active NPI Assisted Living Facility · Evanston, IL
NPI 1073288494 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1073288494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- 1815 RIDGE AVENUE LLC
- Practice address
- 1815 Ridge Ave
Evanston, IL 60201-3662 - Phone
- (847) 960-5555
- NPI assigned
- Aug 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Melissa Anne Cosentino, MSW, CDP
- Title
- Executive Director
- Phone
- (847) 960-5555
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1815 Ridge Ave
Evanston, IL 60201-3662
Mailing address
1815 Ridge Ave
Evanston, IL 60201-3662
Other names
- Trulee Evanston
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All providers in Evanston, IL · Assisted Living Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.