Ashburton Grove, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ASHBURTON GROVE, LLC

Doing business as

Heritage Woods of Belvidere

Practice address

4730 Squaw Prairie Rd
Belvidere, IL 61008-8800

Phone

(815) 544-9495

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Addresses

Other names 1

• Heritage Woods of Belvidere Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1144652363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 SQUAW PRAIRIE RD",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610088800",
            "telephone_number": "815-544-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 SQUAW PRAIRIE RD",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610088800",
            "telephone_number": "815-544-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHBURTON GROVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "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 Belvidere",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Belvidere, IL
• Providers in Belvidere, 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 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.