Orland Park Memory Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5103293 Issued in IL

Legal business name

ORLAND PARK MEMORY CARE, LLC

Doing business as

Autumn Leaves of Orland Park

Practice address

8021 W 151St St
Orland Park, IL 60462-2963

Phone

(708) 403-2400

Fax

(708) 403-2401

NPI assigned

Feb 20, 2012

Last updated

Feb 20, 2012By 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. Chad Anderson

Title

President

Phone

(214) 845-4500

Specialties & licenses 1

Addresses

Other names 1

• Autumn Leaves of Orland Park 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": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1508139742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E JOHN CARPENTER FWY",
            "address_2": "SUITE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623931",
            "telephone_number": "214-845-4500",
            "fax_number": "214-845-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 W 151ST ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622963",
            "telephone_number": "708-403-2400",
            "fax_number": "708-403-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND PARK MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-845-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "5103293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of Orland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orland Park Chiropractic LTD
• Orland Park Counselors PC
• Orland Park Dental Specialists
• Orland Park Integrated Health,LTD.
• Orland Park Led Inc
• Orland Park Orthopedics SC
• Orland Park Plastic Surgery, S.C.
• Orland Park School Dist 135
• Orland Park Skilled Nursing Facility LLC (Warren Barr Orland Park)
• Orland Park Surgical Center LLC

• Assisted Living Facility in Orland Park, IL
• Providers in Orland Park, 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 Feb 20, 2012; 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.