Organization Active NPI

Positive Reflections Adult Day Care LLC

  • Adult Care Home Facility
  • Rockford, IL
National Provider Identifier
1477375798
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
POSITIVE REFLECTIONS ADULT DAY CARE LLC
Practice address
615 N Longwood St Ste 203
Rockford, IL 61107-4264
Phone
(815) 519-8875
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Shenita Moton
Title
President
Phone
(815) 519-8875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

615 N Longwood St Ste 203
Rockford, IL 61107-4264

Mailing address

615 N Longwood St Ste 203
Rockford, IL 61107-4264
Phone (815) 519-8875

National Provider Directory

National Provider Directory

Locations

615 N Longwood St
Ste 203
Rockford, IL 61107
Phone (815) 519-8875

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1477375798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N LONGWOOD ST STE 203",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074264",
            "telephone_number": "815-519-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N LONGWOOD ST STE 203",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074264",
            "telephone_number": "815-519-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE REFLECTIONS ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "MOTON",
        "authorized_official_first_name": "SHENITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-519-8875"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.