Avonlea Cottage of Quad Cities 2, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5100141 Issued in IL

Legal business name

AVONLEA COTTAGE OF QUAD CITIES 2, LLC.

Practice address

2025 1St St E
Milan, IL 61264-3402

Phone

(309) 756-2257

Fax

(309) 756-2258

NPI assigned

Jun 9, 2008

Last updated

Jan 29, 2016By 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

Paul Thoma

Title

Member

Phone

(913) 492-7800

Specialties & licenses 2

Addresses

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1306005863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 W 84TH TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141643",
            "telephone_number": "913-492-7800",
            "fax_number": "913-492-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 1ST ST E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612643402",
            "telephone_number": "309-756-2257",
            "fax_number": "309-756-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONLEA COTTAGE OF QUAD CITIES 2, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "THOMA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "913-492-7800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "5100141",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "5100133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Alden, DNP ARNP CS FNPC FPA
• Sadegh Milad Asefi, D.C.
• Diane Marie Baldwin, DC
• Sarah Katherine Barten, MA
• Patricia Gerleman Basala, DC
• Jessica Binns
• Blackwood Chiropractic, PLLC

• Assisted Living Facility in Milan, IL
• Providers in Milan, 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 Jan 29, 2016; 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.