MW Aledo Operating, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MW ALEDO OPERATING, LLC

Doing business as

Brookstone of Aledo

Practice address

405 SE 13TH Ave
Aledo, IL 61231-2000

Phone

(309) 582-0130

NPI assigned

Jul 2, 2014

Last updated

Jul 2, 2014By 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

Mr. Timothy P O'Brien

Title

Chief Strategiest

Phone

(828) 261-7322

Specialties & licenses 1

Addresses

Other names 1

• Brookstone of Aledo 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": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1437565124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 25TH STREET PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029657",
            "telephone_number": "828-261-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SE 13TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612312000",
            "telephone_number": "309-582-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MW ALEDO OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF STRATEGIEST",
        "authorized_official_telephone_number": "828-261-7322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookstone of Aledo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mercer Health Center, S.C.
• Mercer Manor Rehabilitation LLC
• Megan Nache, APN
• Regina Marie Nonnenmann, D.D.S.
• Gary Stanford Olson, DDS
• Robert D Padgett, MD
• Dennis D Palmer, D.O.

• Assisted Living Facility in Aledo, IL
• Providers in Aledo, 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 2, 2014; 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.