United Senior Properties of Dixon, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5104838 Issued in IL

Legal business name

UNITED SENIOR PROPERTIES OF DIXON, LLC

Practice address

503 Countryside LN
Dixon, IL 61021-3912

Phone

(815) 288-6044

Fax

(815) 288-6055

NPI assigned

Jun 9, 2008

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 1

Addresses

Other names 1

• Avonlea Cottage of Dixon Other name

Locations

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": "1437318987",
    "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": "503 COUNTRYSIDE LN",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213912",
            "telephone_number": "815-288-6044",
            "fax_number": "815-288-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SENIOR PROPERTIES OF DIXON, 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": "5104838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avonlea Cottage of Dixon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lynn Marie Tilton
• Jennifer Tornow
• Michael C Tucker, MS CADC
• Kylee Tuftee, RBT
• Thomas E. Turcotte Jr., D.O.
• Vachagan Akopyan (p h diagnostics)
• Value Lab, LLC
• Carolyn Vandoren, PSY. D.
• Marta M Vanstraten, D.O.
• Pegan Vanwinkle, RBT

• Assisted Living Facility in Dixon, IL
• Providers in Dixon, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.