Alden Village Health Facility for Children and Young Adults, Inc.

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

0038455 Issued in IL

Legal business name

ALDEN VILLAGE HEALTH FACILITY FOR CHILDREN AND YOUNG ADULTS, INC.

Practice address

267 E Lake St
Bloomingdale, IL 60108-1174

Phone

(630) 529-3350

Fax

(630) 529-9866

NPI assigned

Oct 6, 2005

Organization subpart

No

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

Authorized official

Name

Floyd A Schlossberg

Title

President

Phone

(773) 286-6622

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G262

Legal name

ALDEN VILLAGE HEALTH FACILITY

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Apr 3, 1991

Last certification

Apr 25, 2025

Beds

126

Ownership / control type

Private (non-profit)

Most recent change of ownership

Jan 25, 2024

Facility address

267 East Lake Street
Bloomingdale, IL 60108

Tax ID family

Alden Village Health Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alden Village Health for Children and Young Adults, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bloomingdale, IL
  • NPI 1912362617
  NPD tax ID

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427045244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466074",
            "telephone_number": "773-286-6622",
            "fax_number": "773-286-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 E LAKE ST",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081174",
            "telephone_number": "630-529-3350",
            "fax_number": "630-529-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN VILLAGE HEALTH FACILITY FOR CHILDREN AND YOUNG ADULTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSBERG",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-286-6622"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "IL",
            "license": "0038455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1009",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alden Springs, Inc
• Alden Springs, Inc.
• Alden Trails, Inc.
• Alden Trails, Inc.
• Alden Valley Ridge Rehab. and Health Care Center, Inc.
• Alden Village Health for Children and Young Adults, Inc.
• Alden-Valley Ridge Rehabilitation and Health Care Center, Inc.
• Alexander & Associates
• Rasha I. Ali, MD
• Charity Ursua Alikpala, D.O.

• Pediatric Skilled Nursing Facility in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Pediatric Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.