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Organization Active NPI

Heritage Woods of Freeport Limited Partnership

Doing business as Heritage Woods of Freeport

  • Assisted Living Facility
  • Freeport, IL
National Provider Identifier
1124460720
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HERITAGE WOODS OF FREEPORT LIMITED PARTNERSHIP
Doing business as
Heritage Woods of Freeport
Practice address
1500 S Forest Rd
Freeport, IL 61032-9413
Phone
(815) 801-3900
NPI assigned
Jul 23, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mr. Rod Burkett
Title
President
Phone
(815) 935-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1500 S Forest Rd
Freeport, IL 61032-9413

Mailing address

535 E North St
Suite E
Bradley, IL 60915-1187
Phone (815) 935-1992

Other names 1

  • Heritage Woods of Freeport Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1124460720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E NORTH ST",
            "address_2": "SUITE E",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151187",
            "telephone_number": "815-935-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S FOREST RD",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610329413",
            "telephone_number": "815-801-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE WOODS OF FREEPORT LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-935-1992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Woods of Freeport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.